The best age for strabismus surgery in children How to prevent strabismus in young children

Young children are often susceptible to various diseases because of their weak resistance to the outside world. Strabismus and amblyopia are the most common eye diseases in young children. Parents should seek treatment immediately if they find such conditions.

Exotropia should be corrected as early as possible, and should be corrected as early as possible before it becomes obvious and before binocular single vision is completely lost. It is best to have the surgery at the age of 4-6. Postoperative care for strabismus is not difficult. Children should pay more attention to rest, close their eyes and rest, and eat less or no spicy food.

Conjunctival edema should be actively prevented and treated after surgery. Conjunctival exudation and edema are the main postoperative reactions of hydroxyapatite orbital implantation. The reason is mostly due to the stimulation of the conjunctiva during surgery. Postoperative bandage is not good and bleeding occurs, which affects blood circulation and slows wound healing. Therefore, wet compresses are used after surgery.

1. When there is a history of eye disease in the family, parents should take their children for regular eye examinations to confirm whether the child has eye diseases, such as astigmatism, hyperopia, etc. When a child is found to have an eye disease, timely treatment should be given. When the child is about two years old, regardless of whether the child has strabismus, he or she should go to the hospital for examination.

2. To prevent strabismus, parents should pay attention to their children's eye health from the time their children are born. Especially during the period of fever, rash, and weaning, parents should take better care of their children and pay attention to any abnormalities in their eyes.

3. Parents should pay attention to their children's eye habits. The color and brightness of indoor lighting should be appropriate. Children should not be allowed to lie down to read books or magazines, and they should be reminded to rest every hour.

Eye sight measurement

Put a book or picture in front of the baby's eyes. The baby will read the book and recognize the picture. The eyes will naturally want to see the text clearly. At this time, observe whether the baby's pupil position is outward or inward. If the baby's pupils are in the middle of the eyes, there is no strabismus, but if the position of one of the baby's pupils is offset, it indicates strabismus. Sometimes the baby's eyes are normal, but the head will slightly tilt to the side as he reads, which is also a manifestation of strabismus.

Corneal light spot test

This test method requires a flashlight with a relatively concentrated focus. Place the baby flat on his back and shine the light vertically above the bridge of the baby's nose into the baby's eyes to observe where the light reflection point is in the baby's pupil. If the light reflection point is in the middle of the pupil, it means the baby does not have strabismus. If the light reflection point is not in the middle of the pupil, it is exotropia if it is deviated outwards, and esotropia if it is deviated inwards. However, be careful to observe as soon as possible and do not shine the flashlight directly into the baby's eyes for a long time, as this will damage the baby's eyes.

Alternating masking

This is a relatively simple way to determine whether the baby has strabismus. Let the baby focus on one point, and then cover one of the baby's eyes alternately. At this time, the baby's visual balance will change; if the covered eye does not move, it means there is no strabismus. But if the baby's eye moves left and right when it is covered, it means that the baby has strabismus. However, the baby's eyeballs will move autonomously, but the eyeballs of strabismic babies will obviously move inward and outward suddenly without control.

1. Visual function: Generally speaking, children with strabismus have poor vision in their strabismic eyes, and are prone to strabismic amblyopia. Even if the vision of the strabismic eye is normal, they can only use one eye to see objects, and their field of vision is not as wide as that of normal people. More importantly, they do not have the ability of image fusion and stereoscopic vision, so children with strabismus will be restricted in many professions after they join the work, such as driving, drawing, etc.

2. Appearance: Since strabismus affects appearance, children with strabismus are often given nicknames and discriminated against by friends and classmates, which will cause them some psychological trauma, forming an inferiority complex and withdrawn personality, directly affecting the normal psychological development of the child.

3. Physical development: Some patients with paralytic strabismus often use special head positions such as tilting the head or turning the face sideways to overcome the discomfort when seeing things due to eye muscle paralysis, which is medically called "compensatory head position". If not corrected early, it will lead to skeletal deformities throughout the body, such as scoliosis of the spine.