Though it happens more frequently among younger populations, affecting 2 to 4 percent of children, it may also appear later in life. The misalignment may be permanent or it may be temporary, occurring occasionally. The deviation may be in any direction: inward, outward, upward or downward. If the child is not treated at the appropriate time, a condition called amblyopia occurs, which eventually leads to permanent loss of vision. If a squint is noticeable an operation can be done to adjust the position of the eye. The aim of this is generally to improve the cosmetic appearance of a squint. It does not aim to improve the eyesight of the squinting eye.
In case of strabismus in children, the goals of treatment are to preserve vision, straighten the
eyes and to restore binocular vision. Treatment of squint
depends on the exact cause of the misaligned eyes. As the
commonest cause of squint in children is an error of refraction
(like myopia or hyperopia), treatmet can mainly be in the form
of prescribing necessary glasses correction, togetherr with some
training program for the eye vision. After
a complete eye examination by Dr Khalil, including a detailed study of the
inner parts of the eye, he will recommend
appropriate optical, medical or surgical therapy.
The principle of surgery is to weaken the stronger muscle and
strengthen the weaker muscle. Either one or several muscles may
be operated upon, depending on the type and severity of squint.