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Today, the injection of botulinum toxin into the muscles that surround the eyes is one of the available options in the management of strabismus. Other options for strabismus management are vision therapy and occlusion therapy, corrective glasses (or contact lenses) and prism glasses, and strabismus surgery.
Strabismus can occur due to problems with the muscles and nerves that control the eyes, as a side effect of an eye injury or other medical condition, or as a complication from significant far ...
Frequency. ~2% (children) [ 3] Strabismus is a vision disorder in which the eyes do not properly align with each other when looking at an object. [ 2] The eye that is pointed at an object can alternate. [ 3] The condition may be present occasionally or constantly. [ 3] If present during a large part of childhood, it may result in amblyopia, or ...
Although glasses and/or patching therapy, exercises, or prisms may reduce or help control the outward-turning eye in some children, surgery is often required. A common form of exotropia is known as "convergence insufficiency" that responds well to orthoptic vision therapy including exercises. This disorder is characterized by an inability of ...
In adults, the first step is identifying the underlying cause of strabismus, he emphasized. “Sometimes it can be an age-related issue that requires special glasses,” he said.
The management of strabismus may include the use of drugs or surgery to correct the strabismus. Agents used include paralytic agents such as botox used on extraocular muscles , [1] topical autonomic nervous system agents to alter the refractive index in the eyes, and agents that act in the central nervous system to correct amblyopia.
The most common strabismus finding is large angle exotropia which can be treated by maximal bilateral eye surgery, but due to the progressive nature of the disease, strabismus may recur. [14] Those that have diplopia as a result of asymmetric ophthalmoplegia may be corrected with prisms or with surgery to create a better alignment of the eyes.
Esotropia is a form of strabismus in which one or both eyes turn inward. The condition can be constantly present, or occur intermittently, and can give the affected individual a "cross-eyed" appearance. [ 1] It is the opposite of exotropia and usually involves more severe axis deviation than esophoria. Esotropia is sometimes erroneously called ...
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