FAQ - strabismus
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Do you have any experience with exotropia/strabismus in small children?


I know it's a long shot, but I just wanted to see if anyone had dealt with this, particularly the issue of correcting exotropia with surgery. Thanks!
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I just posted a question wanting to know if anyone is having eye muscle surgery, My daughter is 11 years old and getting it done Friday, we have battled her eyes since she was a baby, she's had vision therapy that didn't help and glasses off and on. I got the where I was pulling my hair out seems like every Dr. we went to had a different theory, when my daughter didn't think there was any problem at all. She says she can see fine. But after all the battle I finally come to the determination that she has seen that way her whole life, she knows no difference, what's happening is the eyes don't work together, the muscles are fine but the brain doesn't send the correct signals to the muscles. She is almost always just using one eye to see, depending her angle one eye shuts off, this is not voluntary by my daughter it just happens. So she's not getting her full range of vi son, they are telling me that also by having this problem her depth perception is misleading which may explain why she's a bit uncoordinated. They told me it is best to have this surgery at a young age because the muscles are still developing, but this Friday we are having it done, yes I'm worried they always have that very small chance of something going wrong. Anyways, this is our story! I would suggest if it's a younger child try therapy first before surgery. Good Luck. email me anytime if you want to know how it went.  (+ info)

Can a person suffering from Strabismus become a Doctor?


Idk, kind of a trick question.
Well, maybe work somewhere in the medical field.
Could that effect their future?
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At medical school we had a professor of Neurology that was an albino with a wicked strabismus so he would ask a qeustion and be looking in the almost exact oppiste direction than who u thought he was asking the question to.Made for interesting ward rounds on the hed injury wards, So yes u can be a doctor and good luck its pretty rewarding  (+ info)

What a minute i think i have strabismus and not "lazy eye"?


i think its kinda cool that have strabismus but i wonder if other people do....i thought it was lazy eye but i just read uo in strabismus and it explains alot about how people precieve me...people say i have an enigmatic facial expression, i always look sad even know i am happy....could this be the reason why? anyway is there any way, i have been to eye doctors in the past but no one has mention this why?
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Have you been to an optometrist? They are experts on refractive errors. You need a different type of eye doctor, an opthamologist.  (+ info)

i have strabismus its inborn, im already 20 i was wondering if this can still be corrected through surgery?


i never had any operation.. i was planning to have one but someone told me that the effectivity of the operation is higher when done at an early age.. like i said im already 20 so.. is there still a chance? and how much does it usually cost?
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No, I don't think that's true. I believe that it can be done at any age. However, I don't know what the cost is. Good luck.  (+ info)

what is the chance of Strabismus getting worse?


my son is 13 and his left eye is slightly pointing upwards and toward the right. is there anything i should do about it?
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Vision therapy might be an option if your son isn't already involved in it. Check the sources URL for some success stories on vision therapy with Strabismus.  (+ info)

If someone has Strabismus, which eye am I supposed to look at?


I know two people who address others and their eyes are going in two different directions?
They apparently have no visual issues handicapping them at all. I just can't seem to focus on one or the other eye without confusion.

How do I know which eye to focus on to properly communicate?
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the one thats looking at you.

if you cant tell which one is looking at you & which one is looking "off", then it probably doesnt matter. but if you CAN tell, then look at the eye thats looking at you...not the one looking "off".

etiquette says staring at the "good" eye means you're paying attention to what the person is saying. staring at the "bad" eye means you're noticing their disability/problem & focusing on it instead of paying attention to what they're saying.  (+ info)

Can anyone give me more insight on strabismus surgery?


My son is 18 months old and needs surgery. Has anyone infant/toddler had this op? What was it like and how was it afterwards as i am really scared when it gets to surgery on the eyes. Does it help? please give me more info.
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My daughter had the surgery at 22 months. She has partially accomodative esotropia - her eyes turn in because she's farsighted, but also due to overactive muscles. We tried glasses alone for 6 months, and while they helped, her eyes were still crossing significantly.

The surgery is a relatively short outpatient surgery. It took about 45 minutes. Your son will go under anesthesia, so will need to not eat the day of the surgery. For us, the hardest part was watching our daughter come out of anesthesia, she wasn't fully awake or aware at first, and was screaming, crying bloody tears (this is normal, but pretty upsetting for parents), and nothing we could do would calm her. She screamed fr about 20 minutes, fell asleep for 3 minutes and woke up completely different and asked for juice.

After the surgery, her eyes were sore and she was a bit moody for the rest of the week. We had to put eye ointment in her eyes a couple of times each day, which was a real fight, but all in all, the recovery was pretty easy.

So far, the surgery has been successful. She still wears glasses - the surgery only corrects the eye turn that glasses don't correct. The surgery is only appropriate in about 25% of the cases of strabismus (where glasses do not correct the turn), but in those cases, it can be successful. About 15 - 20% of children will need another surgery after the first. Often that happens later in their childhood.

I've written a much longer post about the whole thing here:
http://littlefoureyes.com/2008/09/01/surgery-redux/

You can see a picture of our daughter before and after the surgery here:
http://littlefoureyes.com/2008/10/08/update-on-zoe/

This is a very good information sheet from the Children's Eye Foundation that give an explanation of the surgery, when it is appropriate and what the recover is like:
http://www.childrenseyefoundation.org/For-Parents/Patient-and-Parent-Guide-to-Strabismus-Surgery.aspx

Best of luck to you - please feel free to contact me if you ever want to talk with someone who has been through this (ann @ shinypebble.com - take out the spaces)  (+ info)

Just had strabismus surgery and have some questions?


Just yesterday I have had the surgery and today i am having a lot of double vision. I al also using TobraDex on my right eye if that helps. Can anyone please tell me if this is normal?
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yea its normal man, its because of the surgery

your vision will be normal in a day or so  (+ info)

what is the fastest and best way to treat "Esotropia Strabismus"?


More of a cosmetic fix. and yes i'm gonna be seeing a opthamologist in a few weeks.
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It depends on how old you are and how severe your strabismus is. For younger people or less severe cases usually you will be asked to wear an eye patch and use some drops. For more severe cases surgery is an option.  (+ info)

Can anyone tell me please how eye surgeons measure how much to take in an eye during Strabismus surgery?


I was not 'measured' as far as I know during my consultation, and after 2 weeks my eye now has an inward turn rather than an the original outward turn. I'm 99.9% blind in the eye that has been operated on too.

How do I know he has not over corrected it? How does he measure it when Im asleep? In the following 2-6 weeks (Im 2 week post op now) what % will it drift out more? 1%? 10%? Will it drift out AT ALL? If so, when does it Stop drifting?

Thanks v much. Im very worried.
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The eyes stay aligned because there are neurosensory adaptations that occur when we're little. The right eye has a visual field..all the area it can see. The light from the right field goes through the pupil and hits the left side of the eye. The floor and items on the floor, their images go through the pupil and hit the retina on the top. The clouds hit the bottom.

The left eye also has it's field. Same objects on the floor, to the right and left..etc. There are areas in each retina that correspond to areas in the other retina. The brain uses these areas to adjust the eyes so the images correspond exactly and the eyeballs stay aligned.

Before you have surgery, you had an eye that was out (according to your note). When you looked at things, your brain used one eye, your good one to see. The other eye wasn't used, it was ignored, because if it was used you'd have had two images.

Double vision is very bothersome. To avoid this, the brain says that the image from one eye ISN'T. It doesn't exist. It suppresses the image. This is called Suppression Amblyopia.

When that eye is out and the other straight, the brain takes the forward image on that bad eye's retina and ignores it. When they do surgery, they move the eye past the midline so that the suppression scotoma (blind spot area that you learned to ignore) is past midline. They move the eye enough so that the image won't interfere with the previous suppression area.

Now your brain has two images straight ahead. It will now 'learn' to use the bad eye with visual clues and those clues will make it stay aligned. Sort of the 9 o'clock region in one eye corresponds to the 9 o'clock region in the other eye. When the eye drifts a bit too far, the brain readjusts the eye so that it is aligned with the other eye.

When you look to the right, the right eye uses the lateral muscle to move the eye to the right. The left eye uses the Medial muscle to look to the right or move the left eye to the right. These two muscles are called YOKE muscles. The brain adjusts the eye according to the retinal correspondence of the two eyes using the yoke muscles for that specific direction..

It can take 3-6 months or so to get adjusted. Takes awhile. Sometimes the vision in the bad eye is so suppressed that it can't adjust. Usually, however, they end up becoming aligned pretty well, given time.  (+ info)

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