Eye Misalignment Treatment

There are many different causes of eye shift and it can vary from person to person. It can be caused by problematic pregnancy, premature birth, incubator stay, neurological disorders, febrile diseases, head trauma, accidents, falls, surgeries, refractive errors (myopia, hyperopia, astigmatism), lazy eye, diabetes and hypertension, as well as hereditary. If there is a family member with a slipped eye, the likelihood of it being seen in the child is high.

As with all diseases, early diagnosis is very important in slipped eye. For this reason, routine eye checks of babies and children should not be ignored and their behavior should be observed. In newborns and children, misalignment of the eye may first show symptoms by turning the neck in a different direction while looking in a different direction. In addition, watery eyes, pain, double vision, headache, loss of parallelism in the eyes, blurred vision and loss of three-dimensional vision, many of which can only be understood during a medical examination.

People with a family history of strabismus, lazy eye and high refractive error are more prone to slipped eye. In eye shifts caused by muscle paralysis, if the patient is an adult, it may be caused by a condition such as high blood pressure, diabetes, vascular diseases and head trauma. Some eye shifts may also be congenital. High hypermetropia, myopia or astigmatism can cause misalignment. Sometimes there are misalignments that are associated with a certain disease (Down Syndrome, Brown Syndrome, Apert Syndrome, Trisomy 18 syndrome, Noonan Syndrome, Hydrocephalus, etc.). The occurrence of misalignment has nothing to do with age or gender.

In infants, this condition can be observed in 2 ways; congenital strabismus and later developed strabismus.

In addition, since the nasal bones of babies are not yet formed in the first 6 months, false strabismus can also be observed. In order to make this distinction, an ophthalmologist should be visited after the first 6 months. If babies have a congenital misalignment, surgery is performed at the age of one and a half years.

If there is a subsequent misalignment, glasses and eye closure treatments are tried first. If the misalignment still persists after two examination periods, surgery is performed. Surgery in infants is no different from surgery in adults. This surgery is performed under general anesthesia and takes about 1 hour.

Eye shift in newborn babies is considered normal for a while, but it is expected to improve after 6 months. The shift may be intermittent or continuous. The family should be observant here and if one or both eyes continue to shift, they should consult a specialist immediately. Because if it is too late, permanent and more important disorders may occur. The treatment of eye misalignment, popularly known as strabismus, is much more successful if the diagnosis is made early.

There are many reasons why adults may have a slipped eye. These include food poisoning, Guillain Barre Syndrome, brain trauma, cerebral hemorrhage, diabetes, high blood pressure, trauma to the eye, poisoning caused by sea creatures or insect bites, refractive errors in the eye and paralysis.

The aim of eye slip exercises is to eliminate the balance disorders in the muscles. For this purpose, movements that will work the strong and weak eye muscles differently are given. This is a kind of physical therapy. Due to focusing and shifting in different directions in the eyes, the image cannot be merged, but thanks to these exercises, image merging is provided. The eyes normally see three-dimensionally, but this situation is disrupted in misalignment and the depth of vision is lost. Exercise is used to eliminate the disharmony in the image and to restore balance.

In eye shift exercises, applications are made with certain materials. In this way, the harmony of the weak eye and the strong eye is ensured. This treatment is tried in all children or adults who have eye shift problems. If there is no progress, surgical intervention is performed as a last option.

Vision tests first identify the patient's vision problems. If the existing misalignment is caused by visual defects, this defect is corrected first. Vision tests also determine the degree of misalignment of the patient's eye. The tests for misalignment are the basic strabismus test, the covering test and the uncovering test.

An outward shift of the eye, known as exotropia, is the most common type of eye shift in children but can also occur in adults. It usually occurs from time to time (intermittently), initially less frequently but increasing over time. It can be recognized when the child spontaneously closes the shifting eye in bright and overly bright environments. Intermittent exotropia is especially pronounced when the child is tired, absent-minded or feverish. If the shift is large and frequent enough, it should be treated.

The main goal of treatment with glasses is to align the patient's eyes as much as possible and to improve vision. With this treatment, the misalignment can be partially prevented and controlled.

If the glasses treatment does not work and the outward shift in the eye is continuous and prominent during the day and becomes difficult for social life, surgical treatment is initiated. In this condition, which can be treated with surgery, the important thing is how much surgical correction will be performed. In this surgery, slippage may recur due to inadequate correction. For this reason, the correct measurement of the slip angle is very important for the success of the surgery.

 

Some misalignment occurs due to refractive error and can be treated with glasses. The slippage in the eye improves as you wear them.