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Management of Squint

Various tests used in detection and measurement of squint 

Cover tests,
Using prisms, Maddox rod, Maddox glass
Hess's screen test
Synoptophore.

Squint occurring suddenly in adults may be due to nerve or brain disease and may require CTScan or MRI. It can commonly occur with Diabetes or Hypertension.

Squint occurring in children should be shown to an eye doctor as early as possible. This is because vision development can occur only in childhood. Once a lazy eye develops, it is very difficult to set it right, after some time has elapsed. Even though, surgery may be done to reposition the eyes, the visual ability cannot be regained.

Squint associated with refractive errors can be corrected with Spectacles. Some types can be treated with the use of Prisms in glasses.

Convergence Excess and Convergence Insufficiency: There are tests to measure the convergence, while focusing on near objects. So either its Excess or Insufficiency can be detected. Eye exercises  can help to overcome them. Some times, Surgery to tackle the inappropriately acting eye muscle is required.

Surgery for Squint

This involves surgically loosening or tightening the muscles so that eye alignment is achieved. Since the muscles are outside the eyeball, squint surgery does not lead to decreased vision, unless complications occur. 

The surgery requires general anaesthesia in children and local anaesthesia in adults.

Botulin Toxin Injection (BOTOX) is one of the new ways of squint treatment and is used in certain types of squint with good success.

 

 

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