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SQUINT

Squint is a form of medical condition, which causes the eyes to either Diverge (Turn out), Converge (Turn in) or turn downwards or inwards. It is a basic misalignment of the eyes, which can occur in any direction.

Facts about SQUINT

  • Dysfunctional extraocular muscles.
  • Faulty Nerve Signals to the eye muscles.
  • Eye having problem in focusing on objects.
  • It could also happen due to some brain disorder, which leads to poor coordination between the eyes.

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What are the various categories of squint?

Squint has been categorized into various types, depending on the basis of the direction of the squinting eye:

  • Hypertropia:- In this category of Squint, the eye turns upwards and the visual axis of one eye is higher than the other fixating eye.
  • Hypotropia:- In this category of Squint, the eye turns downwards and the visual axis of one eye is lower than the other fixating eye.
  • Esotropia:- In this category of Squint, the eye turns inwards. This condition can be present in the eyes, for a long time and can give the particular person a form of “cross-eyed appearance”.
  • Exotropia:- In this category of Squint, the eye turns outwards. This medical condition can also be hereditary
  • Concomitant squint:- In this category, the squint occurs in every direction of vision with a high severity level and the possibility of double vision is very diminishing
  • Concomitant squint:- In this category of Squint, the angle of severity varies in every direction of the person’s gaze

SQUINT Treatment

Correcting Amblyopia (Lazy Eye)

Amblyopia correction is made by patching the good eye for a few hours every day so as to equalize the vision in both eyes. This procedure can be done for children, who are less than 10 years old.

Correcting Refractive Errors

Some particular forms of squints can be corrected by eyeglasses, contact lenses, or surgery. Our team of skilled medical specialists will assist you by providing the best solution.

Surgery

In this, one or more of the outside eye muscles are moved or tightened, which results in the movement of the eye, which further causes the eye position to change. One or more surgical procedures may be needed for cosmetic correction and the creation of the perfect vision.

What are the Symptoms and signs of squint?

The typical symptoms that could signify a “neuro-ophthalmological” problem include:

 

  • The most obvious and common symptom of Squint is that two eyes always point in opposite directions
  • When an infant is looking at a person with either one eye closed or he turns his head while looking, then in both cases the infant can have double vision and a possible squint
  • This eye condition some time results in poor vision, blurred vision, which can further lead to total blindness
  • The primary sign of squint is that the eye is not straight
  • Another significant symptom can be the presence of faulty depth perception in the eyes of a person
  • It can be hereditary in children
  • Sometimes there can be the presence of double vision, which means that a person is seeing two sets of the same objects
  • In certain cases, the brain starts ignoring the signals sent by one eye to the other, to avoid double vision
  • A person can have split vision when he is able to see perfectly from one eye but can only see the half an image from the other eye
  • Due to the occurrence of eye strain, the eyes start feeling fatigue due to extensive use such as looking at a computer screen for an extended period of time

Causes of Squint

  • Congenital and Hereditary: Squints in a newborn child could be present at birth or the condition could stem, from a history of similar problems in the family.
  • Nerve Damage: Squinting of the eye can also be attributed to lesions on the cranial nerve or an injury suffered by the nerves.
  • Long Sightedness: Sometimes a squint can be developed, due to long-sightedness as the eyes have to ‘over-focus’ on a particular object situated at a far distance, in a sense to see clearly and the brain might respond by switching images from one eye to the other, which can lead to severe repercussions like weakening of the eye muscles.
  • Childhood Illness: Squint in the eyes can also be attributed to various illnesses and viral infections like measles, Chickenpox, etc and it can also be attributed to genetic factors, which causes the occurrence of Noonan Syndrome in children.
  • Refractive Errors: Many a time, squints in the eyes could also develop due to refractive errors of the eye like myopia, hyperopia or astigmatism and this happens because the eye tends to turn inwards so that it can focus better for an enhanced vision.

How to tell if my Child has a squint?

Children are either born with a squint or they develop it in early childhood. Most kids develop this condition between the ages of 1 to 4 and in rare cases, up to the age of 6. It becomes very difficult, to detect the presence of squint in the eyes of a newborn, due to the fact that their eyes cross and wander, in their initial years.
However, an important thing to be focused upon is that their eyes should straighten out by 4 to 6 months.

Sometimes, however, it is very easy to detect the presence of squint, as the eyes seem to be pointing in very different directions. In addition to this, you could also notice the presence of a squinted eye, when kids focus on something close, For example:- inanimate objects like a toy or a puzzle.
Eye squints produce discomfort, encompassing the occasional double vision or blurry vision but kids cannot understand the presence of a squint. It is generally noticed by parents, relatives, or a health care professional

Treatment

Squinting eyes can give an individual a feeling of being different from others, leading to severe psychological implications. In the case of young children, they start feeling shy about their appearance and become oversensitive to normal life situations. Apart from the mental and psychological challenges, long-standing squints in the eye can also hamper the functioning of day-to-day activities like reading, driving, or working at the computer. If the above-mentioned symptoms of squint persist for a long time, then a person can have a severe visual impairment. Thus, it becomes essential to address this issue as soon as it is diagnosed.
Some corrective measures have been mentioned below, which can be used to cure squinting:

  • Corrective Glasses: If long-sightedness or any other refractive errors are the cause of squint, then they can be corrected by glasses.
  • Eye Patch/Occlusion: Eye patches can also be used to cure squints in the eye. The patch is worn over the good eye, to enhance the vision of the other eye with a squint.
  • Botulinum toxin (Botox) injection:- It can also be used to cure the eye with a squint. In this process, Botox is injected into one of the muscles which move the eye, which results in the stoppage of eye muscles, causing the eye position to change.
  • Prism eyeglasses:- Any adult who has a mild double vision with a squint, can cure it by using eyeglasses with prisms. A prism is a form of wedge-shaped lens, which bends or refracts light rays. Although, it should be noticed that if a person has a case of severe double vision, then, in that case, the use of prism eyeglasses becomes disadvantageous.
  • Eye Drops and Eye Exercise: Special eye drops can help correct squints and in addition to this, certain eye exercises can also go a long way to help with this eye condition.
  • A particular form of eye exercise, which is also known as “Pencil push up therapy” can be done to improve the condition. Here are the steps to the exercise:

– Take a pencil and hold it at a distance as much as your arm’s length, by aligning it with the mid-point between the eyes.

– Move the pencil towards your nose and try to maintain a single image of the pencil.

– Move the pencil towards the nose until there is a point where the pencil is no longer a single image.

– Hold the pencil at the nearest point where you can see a single image.

– If you have trouble retaining a single image, try the procedure again.

            – Oral Medication- It might be necessary, based upon the presence of a type of squint in the eye(s) of a person.

            – Surgery – If all other options do not seem to work, the last option is that the person, should go through a surgical procedure for the correctness of squint.

Cost

  • An “Orthoptic Check Up”, inclusive of “PBCT + Synaptophore+ Diplopia Charting+ Maddox”, will cost Rs. 500.
  • The sessions of “Orthoptic Exercises”, by trained eye care professionals, will cost Rs.1200. The total duration of the sessions will be 15 days and these sessions are an effective mode of treatment for “Squint”.
  • The cost of a “Squint surgery” for treatment of a single eye muscle, will cost Rs.20000.
  • The cost of a “Squint surgery” for treatment of both eye muscles, will cost Rs.25000.

We also provide charitable services for the “underprivileged sections of society” because we believe in making the world a more happier place to live in.
So an individual who is in need of eye treatment, but is unable to afford the treatment expenses, can come to our hospital and his entire treatment will be done “free of cost or at a very nominal price”.

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