Generality/Definition
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The condition where the eyes are misaligned is called strabismus. Different types of this condition exist. The most common among children is esotropia (inward deviation of one or both eyes). The less common type is called exotropia (outward deviation of one or both eyes). The rarest is a vertical misalignment wherein the one of the eyes is deviated upward (hypertropia) or downward (hypotropia). The deviation may be present intermittently or constantly. Treatment options depend upon the type of deviation and may include glasses, prism, and or surgery.
Source: Childhood Strabismus (eye.com.ph)
Prevention
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To protect their child's vision, parents must be aware of amblyopia as a potential problem. This awareness may encourage parents to take young children for vision exams early on in life--certainly before school age. Proper nutrition is important in the avoidance of toxic amblyopia.
Source: Amblyopia (healthatoz.com)
Treatment
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There are two methods to alter extraocular muscles. Traditional surgery can be used to strengthen, weaken, or reposition an extraocular muscle. The surgeon first makes an incision in the conjunctiva (the clear membrane covering the sclera), then puts a suture into the muscle to prevent it from getting lost and loosens the muscle from the eyeball with a surgical hook. During a resection, the muscle is detached from the sclera, a piece of muscle is removed so the muscle is now shorter, and the muscle is reattached to the same place. This strengths the muscle. In a recession, the muscle is made weaker by repositioning it. More than one extraocular eye muscle might be operated on at the same time.
Source: Childhood Strabismus (eye.com.ph)
Other information:
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Surgical Care: Surgical therapy for strabismus generally should occur after amblyopia is reversed. Disadvantages to surgical therapy prior to correction of amblyopia include difficulty in telling if amblyopia is present because there is no longer a strabismus to assess fixation preference and higher potential to being lost to follow-up, as the child cosmetically looks better. The improved cosmesis gives the parents a false sense of security about the vision improving.
Source: Amblyopia (emedicine.com)
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