Squint  Department


Squint or (strabismus) is a condition in which one eye looks straight, while the other looks in different direction, either deviated in-wards or outwards, and rarely upwards or downwards.

Squint is common among children, it may be constant or intermittent. The earlier treatment of squint, the better result will be obtained, therefore it is advised to make the first eye check up for child during the first 9 months.

Corneal disorders that are diagnosed and treated  medically or surgically in this department:

  1. Congenital and hereditary corneal disorders

  2. Corneal melting

 3. Corneal dystrophies

  4. Keratoconus and other corneal degenerations  

 5.  Keratitis

 6. Corneal Ulcers

 7. Stevens Johnson's syndrome  

8. Ocular surface tumors

9. Pterygium

10. Trauma

Causes of squint:

* Refractive errors

* Hereditary

* Cerebral palsy

*  Brain tumors or injuries

*  Faulty muscle balance

* Congenital squint (means the child is born with the squint, mostly unknown causes)

* Childhood illness

* Eye problems: e.g. cataract, glaucoma, injuries of the eye, trauma, etc.  

* Some systemic disease: diabetes mellitus, hypertension, thyroid disease.  

Types of squint:

* Convergent squint - (inward-looking squint)

*  Divergent squint - (outward-looking squint)

*  hypertropia - where the eye turns upwards

* hypotropia - where the eye turns downwards

  hypertropia or hypotropia may called vertical squint (lookup up or down).

Equipment and tests done by the department:

* Synoptophore

* Colour vision test

* Contrast vision testing

* Diplopia charting

* Hess screen

* B-Scan

* Slit Lamp

* Indirect & Direct Opthalmoscopes

* Ocular & Volk lenses

* Prismbar

* Maddox wing

* Madox rod

* RAF ruler

*  Loose prism

Treatment:


Glasses

The majority of children with squint are prescribed spectacles which should be worn permanently. Many need no other treatment, glasses will correct the vision and may lead to straighten the affected eye. Parents should encourage their children if they are reluctant to wear glasses.

 

Patching (occlusion)

Children who developed lazy eye (amblyopia) mostly their good eye will be patched for several hours a day to force the brain to use the lazy eye. Patching may continue for weeks or months, it improves the vision and helps the lazy eye to work.    


Exercises

There are series of simple exercises that will be taught to the child according to the type of squint to help the eyes to work together.

Surgery

Some children require surgical intervention to straighten the squint, and letting the eyes properly aligned. This surgery is decided when the glasses failed to improve the squint.

قسم الحول BIF SUDAN | Al Basar International Foundation

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