How to Treat Pediatric Strabismus with Limited Treatment

Patient's question:

My daughter is 6 years old. In March of this year, we noticed that she occasionally has a gaze phenomenon. On May 8th, we went to the ophthalmology department of Beijing Shunyi District Hospital for an examination. The doctor first performed an "nystagmus head position test," the results of which showed no pathological strabismus. Then, an "obvious refraction test" was conducted, and the results revealed that both eyes had a naked vision of 0.8. The doctor recommended a "non-contact intraocular pressure measurement," with results showing a right eye pressure of 15.9 and a left eye pressure of 16.1. The results of the dilated refraction test showed that both eyes had a vision of 0.6. The doctor prescribed the medication "atropine ophthalmic gel" for three days, followed by a one-day break before returning to the hospital for a check-up. However, after taking the medication, the child experienced severe photophobia and blurred vision.

Doctor's answer:

Hello, amblyopia is a common pediatric eye disease in ophthalmology. It is a condition where visual function is impaired due to the failure to receive appropriate visual stimuli during infancy and early childhood, as a result of various reasons such as perception, motor function, conduction, and visual cortex issues, affecting visual development. The main manifestations include low vision and binocular single vision dysfunction. In China, the incidence rate of amblyopia is approximately 2-4%, mostly affecting one eye, but it can also affect both eyes. According to etiological classification, it is divided into: (1) strabismic amblyopia; (2) refractive amblyopia; (3) refractive anisometropia amblyopia; (4) form deprivation amblyopia; (5) congenital amblyopia. The key to treating amblyopia lies in early detection and early treatment.

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