Yorum yapılmamışStrabismus is a common problem in adults. Especially intermittent strabismus or low vision in one eye is an important cause of strabismus. Strabismus treatment in adults should not be seen as an ordinary disease. Strabismus is a special issue among eye diseases and its treatment techniques are very different from other eye diseases.
We see strabismus in adults in two ways, new-onset strabismus or childhood strabismus. Strabismus problems or lazy eye problems that have existed since childhood can extend into adulthood.
A later strabismus is usually caused by trauma or vision loss. For example, the Sixth Nerve Paralysis, which we often see around the age of 50-60, is seen as the inability of the eye to move outward. Sixth nerve palsy can be seen after head trauma as well as age-related.
Diagnosis of Strabismus in Adults
The prisms we use in the strabismus examination and the measurement of the deviation angles in the far and near gaze are very important in determining the treatment. In order to determine the strabismus angles, it is sometimes necessary to repeat the angle measurement by closing one eye for a while. It is also important to evaluate 3D vision and eye movements after prism tests.
Strabismus Surgery in Adults
Strabismus surgery in adults is a condition that we often successfully treat. However, patients need to be enduring and willing. We achieve long-term successful results with these relatively low-risk surgical treatments. However, it should be kept in mind that some patients may require a second or third surgery. It is often possible to improve the quality of life with the treatment of strabismus in adults.
Non-surgical treatments for adults include prism lenses and botulinum toxin treatments.
If the strabismus angle is less than 10-15 prism diopter, prism lenses are used in the treatment. In addition, prism lenses are used if strabismus is thought to be short-term or temporary.
We use neurotoxin procedures, especially in cases such as acute sixth nerve palsy. We eliminate double vision with neurotoxin that we apply to the opposite muscle of the paralyzed muscle.
Strabismus treatment is more successful when applied early. We try not to delay the additional treatment required by examining the patients immediately after the surgery.
Strabismus is one of the most difficult problems of eye diseases. It is not only a cosmetic problem, but also a problem that affects people’s self-confidence and social relationships. Solving this problem takes time, care and patience. While a problem that lasts for years can sometimes be solved with a single treatment, it should be known that sometimes it can be a gradual solution and it should be known that the best possible position will be targeted instead of full treatment.
