Paediatrics

Children’s eye conditions including squint (strabismus), refractive error, congenital abnormalities and consequences of prematurity or neurological disorders, such as cerebral palsy.

Paediatrics

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Paediatrics/Strabismus

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Squint/Strabismus in children.

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Treatment of Squint

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Squint Surgery

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Refractive Error

Paediatrics/Strabismus

Children’s eye conditions including squint (strabismus), refractive error, congenital abnormalities and consequences of prematurity or neurological disorders, such as cerebral palsy..

Squint/Strabismus in children.

Childhood squint is common affecting 2-3% of children. It occurs when the eyes are not properly aligned. Treatment and monitoring is crucial in the first 7-8 years of life, during the period of visual immaturity, when the brain is setting up all the wiring for vision. A “lazy” eye with permanently poor vision (amblyopia) may develop as a result of squint. Early identification and treatment is important. The sooner treatment is started, the better.

Treatment of Squint

The commonest treatment of childhood squint is with glasses and occlusion (patching) therapy. This is designed to encourage the brain to develop the correct wiring for clear sight and whilst wearing the glasses the squint will frequently resolve. In some cases squint surgery is needed, usually for cosmetic reasons.
In adults, the cause of squint is often different and glasses/occlusion are not usually used. Prisms in glasses and/or surgery may be needed. A full general health assessment is also often required for adults with a new squint.

Squint Surgery

This is undertaken under a General Anaesthetic (asleep) as a day patient. Surgery involves moving the position of the eye muscles where they attach to the eyeball. It may be needed on one or both eyes depending on the nature of the squint.

Outcomes are usually good, but as with any surgery, there are small risks involved including under and over correction of the squint requiring further surgery. The pro and cons of surgery will be fully discussed, in detail, at a consultation.

Refractive Error

This means that the shape of your eye does not bend light correctly, resulting in a blurred image. The main types of refractive are myopia (nearsightedness), hyperopia (farsightedness), astigmatism and presbyopia (loss of near vision with age). Glasses are prescribed to correct these errors.

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