Seudoestrabismo and treatment of strabismus
Written by:
Some facial deformities may result in so-called strabismus. However, once performed detailed examinations, through analysis of the position of corneal reflex or the cover test, it shows the perfect alignment of the eyes. The most frequent causes of pseudostrabismus are epicanthus, which simulates a convergent strabismus and hypertelorism, which, however, indicates a divergent strabismus. Below we talk about the types of strabismus and how to deal with our expert in Ophthalmology
The types of strabismus
The strabismus can be classified by various criteria. When you consider the direction of the strabismus deviation can be converged (esotropia), divergent (exotropia), vertical, oblique or torsional. According to the variation of the deviation, manifest concurrent or concomitant strabismus and the most common form is the paralytic strabismus. If, on the other hand, considering the constancy of the deviation we are spoken of constant or intermittent strabismus. Also, if the disease only affects one eye, it is called monocular strabismus and alternating strabismus if it concerns both.
Treatment of strabismus
In order to get a good anatomical and functional outcome in the treatment of strabismus early diagnosis it is of fundamental importance. In this case, most of the clinical pictures are solved by means of optical corrections, occlusion or surgery. Complex treatments based on endless sessions pleottici orthotics and exercises have now fallen into disuse. The optical correction must be applied consistently and is willingly accepted by the child only if the family is not opposed to such treatment. In this regard, it must emphasize that the unbreakable glasses do not represent any risk to the eye, even in cases of accidental trauma, but even represent an excellent eye protection tool. As for the eye occlusion, this therapy should be followed without interruption and methods vary according to the degree of amblyopia (known as ' lazy eye ') and the child's age. Surgical treatment, finally, to be achieved by very early, ie within the first two years in congenital esotropia. In cases of strabismus acquired, the surgery takes place once established the failure of the optical correction. Generally, the hospital provides only one day in hospital, and after 3-4 days, the child can return to daily activities.