Squint Treatment

Squint involves both eye

What is Squint?

different directions. Though it is a common condition seen. among 4 of 100 children it can appear in adults. The deviation can be in any directions- inwards, outwards, upwards or downwards. The misalignment may be permanent, noticeable always or it may be temporary, seen occasionally

Squint Surgery
Congenital and Paediatric Cataract Surgery
Congenital and Paediatric Glaucoma Surgery
ROP Screening and Management
Lazy Eye (Amblyopia) Treatment
Binox vision
Revital therapy

Causes of Squint?

Squint may be caused by any of the following:

Weakened muscles or abnormal nerve impulses to the eye muscles
Heredity Blurred or poor vision
Conditions inside the eye such as cataract

Treatment

Patient often gets the false impression that child may “outgrow” the problem. If a child has two eyes pointed in different directions, eye examination by ophthalmologist is necessary to determine the cause and to begin treatment. The goals of treatment are to preserve vision, straighten the eyes and to restore binocular vision. Treatment of squint depends upon the exact cause of the misaligned eyes. It can be directed towards unbalanced muscles or other conditions, which are causing the eyes to point in two different directions. After a complete eye check-up, including detailed study of the inner parts of the eye, an ophthalmologist can recommend appropriate optical, medical and surgical therapy

Facts about Squint Surgery

Squint involves both eye, It may be obvious only in one eye
Surgery is done on eye muscles situated out side the eyeball.
Muscles are adjusted to correct the position of eye in straight gaze
One or more muscles may be operated depending upon type and severity of squint
Surgery is done either on both eyes simultaneously or one eye at a time
Squint surgery can be done in any eye
Other eye surgery may be required later
Surgery does not worsen the patients sight
Most of the surgeries are for “cosmetic” reasons
Patient may experience double vision temporally after surgery. This usually resolve in few days
Parents should inform doctors of systemic disease especially cardiac problems and fits

Routine blood investigations and X-rays are required before surgery
Patient undergoing general anaesthesia should not consume water or solids foods at least four hours before surgery.
Anaesthetist fitness should be obtained before receiving anaesthesia
Eye is bandaged for one day after surgery.
Patients are usually freed from hospital same day when the effect of anaesthesia wears off
Eye drops are used for one month after surgery
Oral medicines are used for first few days after surgery
First follow-up is on next day, after one week and after one month of surgery.
Further follow-up depends upon patients requirement for additional treatments for Amblyopia or refractive errors etc.
Patients can start normal activities form next day of surgery
Patient should avoid water entering the eyes for at least a week after surgery

In case of doubt please consult Thind Eye Hospital doctors.

Child with squint do not outgrow the condition child with squint usually has defective vision which can be corrected by proper treatment if initiated early in life treatment for squint may be non-surgical which include glasses or patching of eyes surgical treatment of eye if indicated should be at the earliest possible age; this allows better surgical results and binocular function.