Seudoestrabismo and treatment of strabismus
Written by:Some facial dysmorphia may lead to an outward appearance of strabismus;but the exploration stopped, by the methods of corneal reflexes or cover test, shows that the eyes are perfectly aligned.
The most frequent causes of seudoestrabismo include epicanthus, simulating a convergent strabismus, and hypertelorism, simulating a divergent strabismus.
Clinical Forms squints
Squints can be classified according to various criteria.
According to the direction of the deviation can be convergent or esotropia, divergent or exotropia, vertical, oblique and torsional.
According to the variation of the deviation in the different versions can be concurrent or incomitant, which would be more demonstrative type the paralytic strabismus.
According to the record of the deviation are classified as constant or flashing.
According to the deflected eye if monocular will always be the same, or alternating if either one eye deviates or another.
General Guidelines treatment of strabismus
For a good anatomical and functional results in the treatment of strabismus early diagnosis is critical. If this premise is true, the majority of cases are solved with optical correction, occlusion and surgery. Complex treatments based on endless sessions pleopticos orthoptic exercises and have fallen into disuse.
The optical correction should be used consistently, and in general, the child accepts it fine as long as the family atmosphere not this against. The glasses are not secured any risk to the eye, even in the case of trauma, and rather acts as a means of protection.
The occlusion must be constant while there is deviation, although the rate varied between both eyes according to the degree of amblyopia and the age of the child.
Surgical treatment will be too early, before two years in congenital esotropia. In acquired, shall be effected as soon as it appears that the glasses do not fully correct the deviation. Be tardy in intermittent exotropia in the early and constant. In all cases should be pretreated amblyopia, if any, with occlusion. Usually hospitalization is only a day, and after three or four days, the child can perform their usual activities.
