Strabismus is treated by the wearing of glasses or by a surgery treatment to limit its progression and ensure the proper development of the visual system.
Intermittent strabismus (squinting eyes) is manifested in cases of fatigue and can be relieved by wearing appropriate glasses. When strabismus is constantly apparent and affects vision, surgery is in most cases the best solution to consider.
Objectives of surgery
The main goal of strabismus surgery is to improve the visual field, eliminate double vision or relieve stiff neck. In addition to these symptoms, people with severe strabismus are greatly affected by their self-esteem and the decision to have surgery will be an important step in improving their appearance. However, surgery can not guarantee 100% success.
The greater the strabismus, the more the chances of getting a perfect parallelism between the two eyes will be reduced. On the other hand, the majority of the interventions give satisfactory results and improve the visual system. Surgery can be performed more than once in a lifetime if the expected results are not achieved or if there is an upsurge in the problem.
Surgery is possible from the age of 2 years. It is even better at a very young age to avoid the aggravation of strabismus and to allow a better learning at school. It is held at the hospital for a one-day stay under general anesthesia. General anesthesia is often the most inconvenient to the patient during strabismus surgery. A medication is given before the procedure to relax and calm the patient. Anesthesia is done by medicated injection or anesthetic gas mask. As in all general anesthesia procedures, the anesthesiologist is present and monitors all vital signs of the patient.
When the patient is asleep, the ophthalmic surgeon conducts a final comprehensive examination of strabismus before making the correction of the muscles by shortening or lengthening them. He makes calculations and establishes his plan of action to maximize the most perfect parallelism between the two eyes. Of course, before the operation, the patient will have been followed beforehand and will have undergone extensive visual tests.
The ultimate goal of the intervention is to achieve a parallelism that will ensure a clear improvement of the visual system and the aesthetic appearance of the patient’s eyes. To perform the microsurgery, the eye is held open by means of a retractor and the adjustment of the muscles is done without removing the eye from its cavity and without the use of the laser.
The surgery itself does not take more than an hour. The eye or both eyes are operated the same day and when the surgery is over the patient is installed in the observation room. He can leave the hospital as soon as he wakes up according to his condition. No dressing is required in general. An antibiotic cream is applied and the stitches disappear after a few weeks. An adult must provide a companion since he will not be able to drive his vehicle for a few days or wear contact lenses. Return to work is possible from 3 to 10 days following the procedure.
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