Preparing for Strabismus Examination
The doctor will want to know some important details about your child's eye problems. Often these are questions that you cannot answer right away without thinking about them beforehand. Before visiting the ophthalmologist, it would be wise to consider these issues.
How did the problem arise?
Was this something you or other relatives noticed, or was it only your family doctor or pediatrician who noticed it?
Does your child seem to have a problem in one eye or both?
If so, which one?
What is abnormal about his eye?
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Does it slide inward, outward, downward or upward?
Is the problem present all the time or does it occur occasionally?
If it occurs occasionally, a certain activity Does it cause it to occur?
For example, does it happen more when you look up close, when you look away, when you look to one side or when you are tired?
How long ago did the problem start and what is important? Is it getting better or worse?
Do you feel like your child's vision is normal?
Is his growth and development normal?
If you have older children, keep an eye on this issue. It may be helpful to compare your son with the problem to other older siblings. Is he sitting or did he take his first steps at the same time as his older sister?
He also has other relatives with crossed eyes (eye shifting towards the nose), cleft eye (eye shifting outwards towards the ear), or 'lazy' or glasses Do they have a problem with the eye moving out of normal alignment, such as low vision in one eye (amblyopia) that cannot be corrected with eyeglasses?
If so, how have they been treated?
With glasses, eyeliner, exercise, or with surgery?
If your child suffers from double vision (seeing two things when they are actually one), should the images be vertical (one on top of the other), horizontal (side by side), or both? It is important to describe the separation. Does double vision go away when one eye is closed? What about when the other eye is closed?
If you feel that your child's eye is 'shifting' in the photographs, it may be useful to bring sample photographs to the doctor, b� This way your doctor can see exactly what you are describing.
Thinking about all these questions (and of course the answers) before your appointment will help the ophthalmologist arrive at the right diagnosis and treatment plan.
In addition, if there is suspicion of slippage in the child, it will be necessary to perform a drop examination. Although eye drop examination is not very enjoyable, it is mandatory to detect eye disorders. Some children may experience a slight fever after instilling the drops. Therefore, on the day of the drip examination, it is useful to make sure that your child does not have an upper respiratory tract infection, even a mild one, or any other infection that may cause fever, that he or she is not teething, and that the child is having a normal, healthy day.
If there is an infectious condition, it would be more logical to postpone the examination with drops to another day, otherwise the increase in fever may tire the child on whom the drops are administered.
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Taking the child home after the drip examination and letting him rest is a much more reasonable solution for the comfort of both the family and the child. After the examination with the drops instilled, I advise the family to reach their home as soon as possible and rest the child and themselves, without making any additional plans.
We see that inward strabismus in children usually begins after the age of 1. We know that the reason for this is the system that comes into play during close focusing, which we call accommodation. This mechanism also works together with the convergence mechanism, which allows both eyes to turn inward a little and helps the eye focus up close. Along with the flaws in the operation of this system, inward shifts begin to emerge. Some babies have congenital and permanent inward shifting. In some babies, drooping begins congenitally in the baby, and then the drooping increases with the developing close adaptation (accommodation).
The most important detail in cases of inward drooping is the meticulous correction of the eye numbers. A drop examination must be performed.
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OUTSHIFT
Extraversions in the child are usually those that occur intermittently and attract the attention of the family from time to time. This condition can be noticed when the child spontaneously closes his wandering eye in sunny weather or bright environments, or it can be understood by observing the wandering eye when he is tired or feverish. Fixed wide-angle external strabismus is very rare in babies, and such babies must be examined for a different neurological disease.
In cases where lazy vision is deep and the lazy eye sees very little, outward deviation may occur.
FALSE SHIFT
In newborns, the flattened nose root and differences in the inner eyelid folds may cause the eye to appear to be shifting inward. Additionally, a significant difference between the visual axis and the geometric axis of the eye may create the impression of strabismus. An ophthalmologist's check-up is definitely required to distinguish this condition.
CORRECTION OF REFRACTION ERRORS AND STRIABILITY
In cases of strabismus occurring in children, the refractive error must be revealed by eye drop examination.
Why Are My Child's Eyes Drooping?
The reason is usually not a single one. The most common cause is heredity. In about half of children with strabismus, a similar problem is present in siblings, parents, or grandparents. We know that strabismus is more common in children with neurological anomalies. Some illnesses during pregnancy, such as rubella, taking certain medications, or consuming alcohol can affect a baby's brain development. In these cases, strabismus does not occur as an isolated anomaly, but is accompanied by other findings of brain dysfunction. Strabismus may occur along with other neurological problems. Additionally, accidents, injuries, and serious diseases may cause the development of strabismus.
Skitting disrupts my child's psychology. ?
Not only do rolling eyes work incorrectly, they also look different. To other children, a playmate with strabismus may seem 'funny'. A child with strabismus may be laughed at, made fun of, or called names, each of which has a devastating effect on the child's self-confidence. After being confronted with such events, a child with strabismus may learn to avoid people or to belittle and devalue himself in order to compensate for his defect. His personality may develop to be shy and withdrawn as a result. Parents who delay treating an infant for strabismus with the expectation that the problem will correct itself not only reduce the likelihood of achieving a good fusion but also risk their child facing emotional distress. These are important reasons for early treatment of strabismus. Science does not fully understand the extent to which strabismus hinders a baby's development. We know that the majority of babies with strabismus have normal development and grow up to have normal intelligence. But many ophthalmologists have heard personal reports of a baby showing a sudden jump in developmental milestones immediately after having their eyes surgically corrected.
My three-year-old daughter has lazy eyes. Does my one-year-old son also need to be examined?
Amblyopia may run in families. Even if no one other than your daughter is diagnosed with amblyopia, the risk of strabismus or amblyopia in your other children is increased due to the possibility of familial transmission. Even though your son looks normal, he may have lazy vision. In this case, an examination is necessary to detect the problem in your eye.
We heard that introversion usually starts after 6 months, is it true?
Yes, it's true. Because in these months, the baby has a stronger ability to focus (accommodate) and his visual interest gradually increases. This increase in visual focus may cause the eyes to turn inward if the baby is hyperopic. It could be ep. Frequently, introversion is more noticeable when the child is looking at a nearby object, because the eyes need to focus more to look at close objects.
When I take my daughter to the park, she always closes one eye on sunny days. Is this a problem?
Yes, this is a situation that should be taken seriously. The glare caused by sunlight disrupts the fusion in the child, triggering an outward shift, and the child may close one eye to prevent double vision due to this shift. It is necessary to take him/her to an ophthalmologist and inform the doctor about his/her condition and definitely examine him/her for strabismus.
My child's head is turned to one side. It usually looks bent. Could there be a problem with his eyes?
Yes, in such cases, it is useful to check whether there is a vertical deviation in the eyes. Because the child may be trying to compensate for double vision by tilting his head to compensate for this.
My child has a strabismus problem. 6 years old. We heard that during an eye examination, drops are placed into the pupil and it is enlarged. Is this drop examination necessary?
Yes it is. Most children (and even most adults) with eye muscle problems do not have the ability to fully relax the muscles in their eyes that enable focusing during an examination. This may lead to incorrect evaluations of refractive error. Additionally, large pupils dilated with drops allow for careful examination of the inside of your child's eyes. Therefore, most patients with strabismus require dilation of the pupils for a complete eye examination.
My son has strabismus. We are following up at the ophthalmologist. How long does it take to dilate the pupils with a drop examination?
In the general literature, the pupils of a child with misalignment need to be dilated once a year. Your doctor may also want to put drops two or three times a year, depending on your child's development.
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