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Children and Adult Squint Clinic

Children and Adult Squint Clinic

Definition: The misalignment of two eyes is called a squint / strabismus and the correction of this misalignment by eye exercises, squint eye surgery or eye muscle injection is called squint correction or squint eye correction.

Myth: It is a sign of good luck
Myth: It cannot be treated
Myth: It is only a cosmetic problem and does not affect vision

The squint or strabismus in children is most often caused by a defective circuit in the brain; even-though the child may otherwise have absolutely normal neural functions. It is this problem in the neuronal circuit that causes squinting of eyes and in some cases also the lazy eye. The squint in the child leads to following defects in their vision and the best squint specialist would address all the issues during the course of it’s treatment.

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  • Loss of binocular vision (inability to use both eyes together)
  • Loss of stereoacuity (3 dimensional vision)
  • Decreased vision in the squinting eye (amblyopia / lazy eye)
  • Poor motor development / hand eye coordination
  • Abnormal head posture (head tilt or face turn)
  • Decentered and/or narrow visual fields
  • Negative psychosocial and emotional impact
  • Increased chances of eye injuries throughout the life

Signs and symptoms: Deviated eyes, abnormal head posture, closing one eye in bright sunlight, double vision

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If the surgery is required it should be done in most cases within six months after the squint is noticed to avoid any irreversible damage to three dimensional vision and can lead to permanent visual loss (lazy eye)

The unique feature of squint correction in children is that almost all the defects mentioned above can be reversed provided the restoration of eye alignment is achieved as soon as possible. A child squint specialist / pediatric squint specialist possesses special understanding about the evolution of a child's visual system and hence is best equipped to provide various squint eye correction treatments.

Treatment: Glasses/ Occlusion/ Surgery/ Botox injections depending on the type of squint

Assessing 3 D vision (stereopsis) for near in children using Langs stereopsis card

Treatment: Dr Gogri performing a squint surgery using a microscope

The state of the art treatment of squint available in our clinic for children include:

Some Squints called Accommodative Esotropia can be treated with just the glasses as shown below:

...Squint treatment with spectacle...

In patients with intermittent divergent squint, an over minus glasses for correction of squint can be very helpful to improve brain’s control over eye’s alignment.

Jyotirmay Eye Clinic has its own state of the art Pediatric Spectacle Dispensing Unit where you can find best spectacles for children that can provide accurate fitting, research based dispensing, fine quality control and compassionate pricing.

Occlusion of the better eye / Blurring the vision of the better eye using atropine penalisation help to improve vision and fusion of the squinting eye thereby correcting improving the control of an intermittent squint or improves the success of a squint surgery. There are new treatment options like atropine eye drops / bangerter foils / mobile games / amblyz spectacles that are available for the treatment of lazy eye in children and lazy eye in adults at Jyotirmay eye clinic. For more details –

The squint correction with eye exercises aim at regaining child’s ability to use both eyes together (fusion), to restore 3 dimensional vision, to prevent or treat lazy eye / Amblyopia, to improve Hand eye coordination (visuomotor skills) and improve ocular motility (pursuits – tracking eye movements and saccades – fast eye movements). The objective or squint eye exercises is to delay the need of surgery or increase the success of squint surgery and in some situations avoid strabismus surgery by improving the coordination of eyes, so that the child’s Binocular vision and Stereo acuity remain intact.

  • Vision Therapy at home:

    • It is a computerized home vision therapy system. It is a fun and easy way to learn a range of exercises which can train a child's eye to work together. It’s like playing a game on the computer. The plan for exercises depends on the abnormality found on binocular vision assessment. Initial tasks of playing are easy, which computer automatically increases the challenge based on your improvement. It is completely based on an individual Binocular problem. It is usually played 5 times a week, and then gradually reduced to maintenance therapy for a few weeks to reinforce the working of the eye together.

  • Brock String

    • It is an instrument used for treatment of convergence insufficiency and other anomalies of binocular vision. It is used to develop skills of convergence as well as to disrupt suppression of one of the eyes.

These are super effective in restoring fusion and 3D vision BEYOND OUR OWN IMAGINATIONS!

  • Sanet Vision Integrator

    • Touch screen computer is used to produce fusion in patients using only one eye even when both eyes are open

  • Vision Therapy System

    • A 3D screen is used to develop fusion and 3D vision once antisuppression treatment is given on SVI.

The squint surgery is a minor surgery on eye muscles that is quite safe and effective. It is never done with LASERs.

At Jyotirmay Eye Clinic, squint surgery is performed by the latest technique called fornix incision, adjustable suture technique (https://www.youtube.com/watch?v=9aV2HDp4rDA). The entire surgery is performed through a small hole that allows quick recovery and comfort to the patient postoperatively

State of the art surgical technique for squint surgery https://www.youtube.com/watch?v=grVgn5nt-lw&t=360s

Squint treatment with Botox injection
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Facts:
  • Minor surgery
  • Results are good
  • Can resume work/school
  • Max within 1-2 days
  • Not for cosmesis only
  • Improves functional vision
  • Improves ability to use both eyes together

More about Squint Clinic

SIGNS AND SYMPTOMS :
  • Deviated eyes
  • Abnormal head posture
  • Closing one eye in bright sunlight
  • Double vision
MYTH BUSTING:
  • Myth: It is a sign of good luck
  • Myth: It cannot be treated
  • Myth: It is only a cosmetic problem and does not affect vision
WHY DIAGNOSE AND TREAT IT EARLY?
  • Child can lose 3-Dimensional vision, Binocular single vision
  • also result in permanent visual loss (lazy eye)

Adult Squint Videos

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