Patient's question:
Symptoms have appeared since the beginning, with the left eye strabismus. Since birth, the past treatment history and effectiveness: Looking up information, it was said that it can be completely restored by itself as it grows older, so no treatment was given. What kind of assistance is needed: Hello, do you need treatment? What kind of treatment...Doctor's answer:
Different treatment methods are adopted based on the severity: For asymptomatic esotropia, as children have strong fusion and convergence abilities, no treatment may be necessary. However, some children with esotropia may experience eye strain, orbital pain, or headaches when looking at close objects, and appropriate treatment may be needed. For esotropic esotropia, dilation and glasses are recommended, with convex lenses for hyperopes. For exotropic esotropia, convergence training can be performed to strengthen the medial rectus muscles and eliminate the exotropia. If the effect is not satisfactory, prismatic glasses may be considered. For exotropic esotropia with a deviation greater than 10° (20Δ) when looking at close objects, surgery may be considered.Advice: Intermittent esotropia is often downward, and once detected, dilation and refraction should be performed to prescribe sufficient downward glasses for correction. Wearing glasses can often fully align the intermittent esotropia. Children with intermittent exotropia should undergo thorough examination of the deviation and binocular vision function using a synoptophore to understand their binocular vision status. Surgery should be performed as early as possible before the loss of binocular single vision function. If binocular single vision function is lost, surgery before the age of 7 may still offer the possibility of normal recovery. If the deviation is small, negative lenses and convergence training can be used, but this can only alleviate symptoms and is not easily self-corrected.
Lifestyle care: Wishing the child intelligence and health. The above advice is for the question "27-month-old child with left esotropia." It is hoped to be helpful to you. Wishing you health!