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Strabismus in babies and children

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Strabismus in babies and children

Strabismus; It is one of the most common eye
problems in infants and children. Strabismus is a visual defect in which
the parallelism of the eyes is impaired and the eyes look in different
directions. Although it is usually congenital, strabismus can also be seen
in the following years as a result of traumas due to falling or impact. The
main reason is that there is a lack or excess of strength in one or more of the
12 muscles that enable each eyeball to move. In this case, one eye can
look straight while the other can look in, out, up or down. In some cases
of strabismus, gliding can be seen in both eyes.

Strabismus is also one of the eye problems in which early diagnosis and treatment are
extremely successful. Especially until the age of 6, treatment with
glasses is possible. Since the child will start school after this age, if
the strabismus is not noticed and the treatment process is not started, it will
also affect the school success and the treatment process will be even more

If the early diagnosis and treatment of strabismus is not performed, visual
impairment may occur in addition to aesthetic disorders for a lifetime in
children. For this reason, routine eye examination is extremely important
and necessary even if there are no complaints in infants and children.

Causes of Strabismus

There is no single cause of strabismus. Problems
experienced during pregnancy, complications during childbirth, problems
experienced during the developmental period of the child or the discomforts
experienced by the child can cause strabismus. In strabismus seen after
the age of 2, the reason is usually refractive eye defects. Refractive eye
defects can also cause strabismus.

One of the most important issues to be aware of at the
point of strabismus is that it also has a genetic aspect. If there is
strabismus in the family, it is possible to see it in children.

Apart from these, falls or traumas in children can also
cause strabismus. If the child has any predisposition, strabismus may
occur after an operation or accident. In diseases such as hypertension and
diabetes, paralysis can be seen in the nerves that go to the eye, and in this
case, strabismus can occur.

Symptoms of Strabismus

Loss of synchrony in the eyes


Imbalance after walking

blurred vision

double vision

eye watering

Head or face turned to one side

Disappearance of three-dimensional images

False strabismus can also be seen frequently, especially in infancy. This
misconception caused by the width of the nasal root disappears as the baby
grows. In eye examination, the specialist doctor has the opportunity to
distinguish false strabismus.

Treatment of Strabismus

The treatment of strabismus is decided according to many
variables such as age group and type of strabismus. However, the earlier
the diagnosis and treatment is made, the easier the treatment can be performed. Especially
until the age of 6, it is possible to perform the treatment of strabismus with
glasses in most cases.

In cases where the glasses do not work, surgical treatment is applied. The
purpose of surgical treatment; It is to increase or decrease the functions
of the muscles that allow the eye to move. Thus, strabismus can be

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