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How can strabismus affect vision?

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Published in: Ophthalmology

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Dr. Juan José Ramos Ramos

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Strabismus is a non-alignment of the eyes. The eyes so that the images properly reach the retina and the macula that is responsible for the best vision must be perfectly aligned.

Any alteration that causes the eyes not to be facing forward or aligned makes the deviated eye not properly collect the images and, therefore, the brain is unable to process them. As a result of the eye being misaligned and not receiving adequate stimulation the eye does not learn to see and generates a vague eye.

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What types of strabismus are there?

The most frequent strabismus are the strabismus in which the eyes are turned inwards, in which we obtain better results both in the treatment and in the follow-up. In second place would be the deviations out of the eyes, the exotropies, which also require study and treatment. Finally, there are deviations that are associated with other alterations of other ocular muscles in which the eye can deviate upwards or to other more complex directions or combination of the above.

What causes strabismus?

The etiology of strabismus is basically unknown. We do not know the factors that make an eye that is in perfect conditions develop an anomaly in its alignment. That we discard in these cases those in which there are specific pathologies that cause deviation such as brain disorders, muscle paralysis or so-called restrictive syndromes that are pathologies in which anomalies in the development of eye structures is fixed or limited eye in his movement.

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What is your treatment?

The first cause of misalignment or appearance of strabismus in the eye is hyperopia, that is, anomalies that cause refractive errors and therefore lead to ocular deviations. These anomalies are solved with the prescription of corrective glasses since we eliminate the refractive defect the eye is aligned automatically.

Once discarded that there are refractive anomalies that justify the deviation, subsequent treatments are usually surgical, either with the injection of substances, mainly botulinum toxin, or surgeries that try to modify the position of the muscles to correct the position of the eye. .

Last modification: May 22th 2018

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Dr. Juan José Ramos Ramos

Specialist in Ophthalmology
Child ophthalmology expert
Head of the Pediatric Surgery Unit of the Ophthalmological Clinic Gran Canaria

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