Patient's question:
Already had these symptoms since the beginning. Left eye strabismus. Born with it. Past treatment history and effectiveness: Looking up information said it could gradually recover on its own as it grows, so never treated. What kind of assistance is needed: Hello, do you need treatment? What kind of treatment...Doctor's answer:
Different treatment methods should be 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 esophoria, dilation and glasses are recommended. Hyperopes should be fitted with appropriate glasses. For exophoria, convergence training can be performed to strengthen the medial rectus muscles and eliminate the exophoria. If the effect is not satisfactory, prismatic glasses may be considered. For exophoria with a near deviation greater than 10° (20Δ), surgical treatment may be considered.Advice: Intermittent esotropia is often downward. Once detected, dilation and refraction should be performed, and sufficient downward glasses should be prescribed for correction. Wearing glasses can often fully align the intermittent esotropia. Children with intermittent exotropia should undergo thorough examination of the deviation angle and binocular vision function using a synoptophore to understand their binocular vision status. Surgical treatment should be performed as early as possible before the loss of binocular single vision. If binocular single vision is lost, surgical correction before the age of 7 may still restore normal vision. If the deviation angle is small, negative lenses and convergence training can be used, but this can only alleviate symptoms and is unlikely to resolve the issue naturally.
Aftercare: 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!