Patient's question:
Symptom Description: It has been like this since birth, and no medical consultation has been sought.History of Treatment and Effect: No medical consultation has been sought.
What kind of help do you want: Is surgery necessary?
Doctor's answer:
Different types of strabismus require different treatments. For comitant strabismus, it is first necessary to fully dilate the pupils and conduct a refraction test. If the strabismus cannot be fully corrected with glasses, or if the strabismus is unrelated to wearing glasses, surgical treatment should be considered. For children, surgery should be performed at an early age to preserve good binocular vision, fusion, and stereoscopic vision functions.For non-comitant strabismus, the first step is to identify the underlying cause. Surgical treatment should only be performed after the condition stabilizes for more than six months.
Hello, according to your description, if congenital esotropia is detected in infants within the first six months of life, surgery should be performed between 1 to 2 years of age before the development of binocular vision. If esotropia occurs after six months, surgery should not be performed immediately. It is essential to first dilate the pupils and conduct a refraction test. If hyperopia is present, wear fully corrective glasses for 3 to 6 months. If the esotropia is fully corrected, surgery is not necessary, and continued wearing of glasses can cure the condition. If wearing glasses for more than six months only partially reduces the esotropia, the residual strabismus should be surgically corrected as soon as possible. If the esotropia does not change after wearing glasses, surgery should be performed even earlier.