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Dr. Alfonso Castanera De Molina

By Dr. Alfonso Castanera De Molina
Ophthalmology

*Translated with Google translator. We apologize for any imperfection

Strabismus surgery can achieve a final solution

¿, consisting in strabismus surgery

?

Strabismus is a loss of parallelism of the eyes or the ability to move in a coordinated manner in the different directions. For this to happen, all the muscles that move the eyes, six in each, should have a balance in their forces;both the active forces, which are those that move the eyes, as in the passive forces that are opposed to this move. If the balance is right, the eyes move in a coordinated and held the position to be achieved. If this balance is not adequate strength or a loss of parallelism or defect occurs in the rotational movement of the eye, strabismus surgery eye assembly returns to the equilibrium muscles both active and passive forces, to recover the parallelism and coordination of movement in all directions.

¿, can operate both eyes at once

?

Yes, you can operate both eyes at once, and in fact most of the time should be so. The research work we have developed in this center consisted of an individual analysis of each of the ocular muscles to know whether to operate a or more muscles in one eye or both. That diagnosis that is performed at the time of the intervention is to get the basic balance of forces.

¿What type of anesthesia will be used

?

The anesthesia used for surgery of strabismus should be provided general anesthesia using muscle relaxants. What we must do before and during the intervention is a diagnosis of alterations, elasticity and muscle length. This study can only be done if the patient with adequate muscle relaxation, and this can only be achieved through a general anesthetic.

¿expected outcome implies a definitive solution?

The final solution will be reached progressively. Strabismus, especially children, is a process that is affected by the maturation. So from birth or the early months of life are the first cases of strabismus are produced and all physical changes in the body that make the eye muscles and also the eyeballs change. So, the surgery performed at six or eight months old may require further action later by physical changes occurring iran. The basic goal is to always keep the eyes aligned and coordinated in their movements and when new components appear imbalance can rectify in time. Critical age groups in which variations in need of treatment may occur: between zero and nine years for a basic treatment;fifteen to twenty years, very characteristic stage of adolescence some changes;and the stage of the thirty-five to forty years, with the onset of presbyopia.

¿What are the risks in surgery

?

In strabismus surgery there are very few risks when performed by a skilled person who has an appropriate diagnosis and who knows implement that diagnostic tests with inter -operative. The risks of infection are banal, usually always corrected with post-operative treatment. More complex risks would come basically from a defect in the suture, which is known as slipped or lost muscle muscle, is a muscle detachment of the newly involved and therefore a situation of paralysis that must be replaced as quickly as possible.

¿When you can resume normal activities after surgery

?

The recovery of normal activity depends on the age, young children recover much faster than adults. In general, children between six months and four years, twenty-four hours are normal;adults take two or three days and sometimes can last up to a week, it depends obviously normal activity that person performs and demands have. Although bloodshot eyes can see the discomfort disappeared within twenty-four or forty -eight hours, which does not prevent the carrying out of normal activities, except the aesthetic appearance of redness surgery.

Ophthalmology in Islas Baleares
Source: Article made based on experience and professional career of doctor

Publicado por: Top Doctors®

*Translated with Google translator. We apologize for any imperfection