Strabismus is one of the common eye diseases in children and adults. It involves an uneven alignment of the eyeballs, with results in various types of disorders of monocular and binocular vision.
The causes of strabismus can vary widely – they include e.g., birth trauma, refractive errors and anatomical abnormalities of the orbit.
Early diagnosis of strabismus and promptly implemented treatment offer the chance of a full correction of strabismus in a child without surgical intervention. In adults this is usually more challenging and successful treatment of strabismus requires a number of diagnostic and surgical procedures performed in the proper sequence.
Important! Treatment of strabismus in adults is as important as it is in children.
Strabismus in adults is:
⦁ a medical problem that can be solved with effective properly selected treatment. The treatment can remove bothersome and unpleasant symptoms and visual disturbances that, for example, make t it impossible for the patient to work.
⦁ a cosmetic problem that in younger and older people is a cause of complexes or lower self-esteem.
In order to qualify for strabismus surgery, you have to undergo a pre-assessment at our Center. During the visit we will take your medical history, perform full ophthalmological exam and the necessary diagnostic tests.
The surgery is painless, it is performed under combined anesthesia. This means cooperation between an anesthesiologist, who administers intravenous sedatives and painkillers, and an ophthalmologist, who administers local anesthesia to the eye.
IMPORTANT for adult patients who undergo strabismus surgery:
- A good cosmetic result after surgical treatment of strabismus can be achieved in a patient of any age.
- Adult patients with internal and neurological conditions (paralytic strabismus) should not give up on surgical treatment.
- Surgery for strabismus accompanying other conditions (such as thyroid disease) may be less effective than expected.
- The effectiveness of the surgery can only be assessed after two to three months. Some patients (regardless of the technique used) may need more than one surgery.
- Sometimes after strabismus surgery the patient may still need to wear corrective glasses to ensure proper vision.
How do we treat strabismus
The goal of treating strabismus is the correct alignment of the eyeballs.
- Treatment of strabismus begins as soon as it is detected.
- We aim to improve the vision of the strabismic eye, produce central fixation and correct visual localization through various treatment methods.
- We bring the eyes into parallel alignment using prisms, botulinum toxin injections or surgery.
- At the appropriate stage of treatment, we proceed with orthoptic exercises and eye muscle exercises.
At the Retina, we treat adults and children with various types of strabismus.
What does strabismus surgery involve?
Surgery to remove strabismus involves aligning the position of the eyeball. To do this, we weaken or strengthen the muscles that hold it.
Preparing a patient for strabismus surgery is always preceded by taking a medical history by an anesthesiologist, and by a pre-assessment by an ophthalmologist, who will measure the angle of the strabismus.
- on the day of the surgery, you should report to the Clinic wearing comfortable clothes (e,g. a tracksuit); you will be given a disposable patient bodysuit
- on the day of the surgery do not put on facial or eye makeup,
- prescribed chronic-use medications should be taken at the usual time, except the ones listed below,
- 3-7 days before the surgery patients should discontinue blood thinners, such as: Acard, Aspiryna, Aspro C, Asprocol, Polopiryna, Rhonal, Ring N, Solucytel, Thomapyrin, Pradaxa, Xarelto, Plavix, Warfin, Acenokumarol.
- Prior to the scheduled surgery you will be provided with additional detailed information.
Important after strabismus surgery
After the procedure the patient should not use public transport, and should be escorted home by an adult companion.
For 24 hours after anesthesia the patient cannot drive, operate dangerous equipment or drink alcohol.
After the surgery the face should not be immersed in water and the eye should be kept dry, as this can lead to infection. For 3 weeks caution should be exercised when bathing, until the wound becomes watertight.
For 2-3 weeks after the surgery patients should abstain from doing work that requires a lot of physical effort (e,g., moving heavy furniture or lifting over 15 kilograms).
On sunny days patients should wear sunglasses.