Last weekend, a complete update course on strabismus for children and adults took place in Barcelona, in which all the points concerning the correct visual development of the child and the different techniques to tackle this complex pathology, have been touched.
Actually, strabismus is a neurological brain disorder that results in an alteration of the alignment of the eyes and it can be associated with a loss of visual acuity (amblyopic or lazy eye) and binocular vision and / or stereopsis . Likewise very important differences of graduation between the two eyes or loss of visual acuity in one of them due to trauma or previous surgeries, can cause secondary strabismus.
Children with congenital strabismus usually come to consultation very early,since the family note deviation of an eye in the first months of life. Other patients come to consultation in the early years of life and not before, because they were not manifest strabismus (latent), that is decompensated by a greater visual requirement or by illness or fatigue.
In all cases, a process of years of follow-up begins in which several objectives must be achieved, they are the following:
1.-Graduate the vision of the child.
2.-Try to develop all their visual potential (for this, eye patches for occlusion are used if they have a lazy eye).
3.-Get as much as possible, a binocular vision (that the two images received in each eye merge into one in the brain).
4.- After all this and many revisions, propose surgery if residual strabismus remains.
The parents go to the consultation anguished and thinking that it is something simple and easy to solve, and in many cases this does not correspond to reality. They have to be patient, be prepared for an ophthalmological follow-up of years, trust in the professional who takes care of the child and be prepared for possible reinterventions until reaching the desired objective.
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