Paediatric Ophthalmology and Squint Treatment

What is a squint?

Squint is a condition in which your eyes will not be properly aligned. In other words, if one eye is perfect or straight, the other eye is pointed in a different direction. It may be turned upward, downward, inward, or outward. As we know, muscles of the eye control movements of the eye. So, if one muscle is stronger than the other, the eye will be turned towards that direction, thus, forms a squint.

Many people assume squint is a permanent condition, and cannot be treated. However, it is a myth. Squint can be treated by weakening the stronger muscle and strengthening the weaker muscle of the eyes.

Squint, commonly known as strabismus, presumes to be a birth problem, hereditary, or accidental. However, our eye expert says, it arises due to muscle imbalance between two eyes, as we stated in the above paragraph. Squint can also be formed due to refractive error, childhood illnesses nerve palsy, and several other reasons.

Paediatric Ophthalmology

1 out of every 6 kids has vision-related issues, according to research. If a child is having difficulty with vision screening exam, or finds difficulty in reading or learning, watching TV, or needs any surgery or medical treatment for any kind of illnesses that affect eyes, a pediatric ophthalmologist has all those qualifications and experiences that are vital for a child’s eye treatment.

Some of the eye diseases in new-borns are:

  • Congenital glaucoma
  • Cataract
  • Retinopathy of prematurity

Some of the most common issues found in kids are:

  • Lazy eye
  • Refractive errors
  • Drooping of upper eyelids
  • Squint

Squint – More information to reveal

While 4% of children are affected with a squint, some mild cases are managed by wearing glasses. However, more complicated cases require surgical treatment. Once squint is suspected in a new-born, it should be evaluated and treated within the first 6 months of the child’s birth to avoid complete blindness. The hurry in treatment is done only because the optic nerve connecting the eyes to the brain is on a developing stage. So, if any prevalent disease is not treated on time, there could be the possibility of the child gets visually impaired for his/her entire life.

Paediatric Ophthalmology and Squint Treatment

A regular comprehensive check up should be done for a child’s healthcare regime. Squint and dropping of eyelids are easy to detect, and its treatment can be started promptly. But lazy eye and refractive errors are quite difficult to find out, making it challenging for both parents and children. The reason behind this is most kids don’t report their parents about their lack of visibility or change in visual skills. Thus, it is a chief responsibility of parents to notice any change in kid’s behaviour like watching TV from a close distance or excessively straining to read from a book or all of a sudden bad performance in school.

Pseudo Squint is a wide gap between the eyes, flat nose bridge where the eyes appear misaligned but do not have the squint in real.

Congenital Squint – it is a type of squint that cannot be detected in a child for a few weeks. Congenital squint mostly happens in such cases where strong family history could be present.  So, all children who are having congenital squint are prescribed to wear spectacles and routine eye check up.

Long-sightedness or Hypermetropia

In this case, a child cannot focus on an object well because of a lack of vision and has to put extra effort to see, which leads to double vision. To avoid this situation, the image of one eye is suppressed unconsciously so the child will avoid using that eye. Moreover, if it remains untreated, the long-sightedness problem starts deviating, thus, becomes a lazy eye (Amblyopia).

The paediatric ophthalmologists in our hospital start their treatment with initial external medications, eye injectable like drops, a few yoga exercises for the eyes and glasses. However, cases with severe squint problems are advised to do immediate surgery to rectify the alignment issue. Crossed eye surgeries are very common and most successful when treated at a tender age.


Most frequent questions and answers about Paediatric Ophthalmology and Squint Treatment

A child may need glasses for several reasons. Because a child’s vision is in the developing stage, especially during the first 6 years of life, glasses are essential for proper vision improvement.

Children cannot express everything, what is bothering them. They may not be patient and cooperative during any medical examination and answer medical questions. So, a pediatric ophthalmologist knows it well how to make the children feel relaxed and examine them. In Ebisu eye care, we have the most extensive and comprehensive treatment options and the best pediatric ophthalmologist to deal with children and treat child’s disorders.

A drooping eyelid, eye misalignment of one eye doesn’t see as well as the other one, even though they may be straight – are referred to as lazy eye. A drooping eyelid, or is also called ptosis may cause astigmatism. It can also be a dangerous medical condition like amblyopia.

Eye misalignment is known as strabismus. Pediatric ophthalmologists do a proper evaluation, and treatment of strabismus to allow the brain to use both eyes together.

Nearsightedness simply means it is easier to see up close than far away. Well, this is because the eyes are too long and bring light to focus before it reaches the retina. Though it is very common to find nearsightedness in young children of eight or nine years and tends to develop through the teens.

Surprisingly, farsightedness is not adverse of nearsightedness, and it doesn’t mean things look blurred up close and clear at distance. A farsighted eye is too short like Chinese or Japanese citizens, and it helps to bring light to focus behind the retina.

If there is a chemical injury to a child’s eye, immediate irrigation with water is dangerous. Flush your eyes and face with clean water for at least 10-15 minutes. Visit an ophthalmologist immediately to avoid any further complications.

Sometimes kids play with a sharp object like a fishhook or something that gets penetrated into the eyes, then do not try to pull it out. Immediately transfer the kid to an emergency eye care hospital. Other blunt or sharp injuries should also be examined, since the serious cause of the injury may not be apparent.

Most strabismus is the abnormal neuromuscular disorder or poor control of eye movement. Whereas the real fact behind strabismus is a problem with the actual eye muscle.

Strabismus treatment includes improvement in eye alignment and mobility to let the eyes work together better. Different kinds of strabismus require different treatments like glasses, exercises, prisms, eye muscle injection, and surgery. Our pediatric ophthalmologist have undergone special training and interest in treating different kinds of strabismus with the utmost care and supervision.