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There are different types of squint eye (strabismus), and they are categorized on the base of their direction and eye misalignment.
Common types of squint are:
1. Esotropia (crossed eyes) :- This type is most common in infants, in which one eye turns inward towards the nose, while the other remains straight.
2. Exotropia (divergent or wall-eyes):- One eye turns outward, away from the nose, and the other remains straight. This can be an intermittent or constant phenomenon.
3. Hypertropia (Vertical Misalignment):- Hypertropia occurs when one of the eyes stands higher than the other. The higher eye may be turned upward while the lower eye remains straight.
4. Hypotropia (Vertical Misalignment):- Opposite to hypertropia, it is that form that results in the turning of one eye lower than the other eye. The lower eye will be facing downward while the upper eye remains straight.
5. Alternating strabismus:- In alternating strabismus, either eye may turn, sometimes the left and other times the right.
6. Consecutive Squint:- Consecutive squint occurs when one eye develops a squint after the other eye has been treated for squint.
The signs and symptoms of squint eye (strabismus) can vary depending on the type and severity of the condition. Here are some common signs and symptoms:
Causes of Squint Eye:
1. Muscular Imbalance: A common cause of strabismus is an imbalance in the muscles that control the movement of the eyes. This imbalance can cause one eye to turn in a different direction than the other.
2. Nerve Problems: Issues with the nerves that control the eye muscles can also lead to strabismus. Damage or abnormalities in these nerves can disrupt the normal coordination of eye movements.
3. Genetic Factors: Strabismus can run in families, suggesting a genetic predisposition. Children with a family history of strabismus are at a higher risk of developing the condition.
4. Refractive Errors: Uncorrected refractive errors, such as nearsightedness (myopia), farsightedness (hyperopia), or astigmatism, can sometimes cause strabismus. The eyes may misalign to compensate for these vision problems.
5. Childhood Development: In some cases, strabismus may develop during infancy or early childhood as the visual system and eye muscles develop. This developmental form of strabismus may resolve on its own or require treatment.
6. Health Conditions: Certain medical conditions or diseases can contribute to strabismus development, such as cerebral palsy, Down syndrome, or conditions affecting the brain or neurological system.
7. Eye Injuries or Trauma: Injury to the eye or head trauma can sometimes lead to strabismus, particularly if it affects the muscles or nerves controlling eye movement.
8. Amblyopia (Lazy Eye): Amblyopia can be both a cause and a consequence of strabismus. When one eye consistently turns inward or outward, the brain may suppress the input from that eye, leading to reduced vision (amblyopia).
9. Environmental Factors: Factors such as premature birth, low birth weight, and maternal smoking during pregnancy have been associated with an increased risk of developing strabismus.
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Squint Eye Treatment
The squint eye treatment is based on what type of strabismus it is, its severity, the cause, the age of the patient, and also if there is the presence of other related conditions like amblyopia, otherwise mentioned as lazy eye.
1. Refractive Errors Correction: Strabismus of the developmental type can be treated using glasses or contact lenses if the refractive errors contribute to the problem.
2. Eye Exercises Vision Therapy: In some cases, eye exercises or vision therapy will be recommended to improve the coordination of the eyes and strengthen the eye muscles.
3. Patch Therapy: In cases of amblyopia, patching of the stronger eye will be done so that the weaker eye develops better vision.
4. Prism Lenses: Prism lenses are sometimes given to help align the eyes and eliminate double vision for some individuals receiving strabismus.
5. Botulinum Toxin Injection: Injections of botulinum toxin—Botox—are also applied with strabismus, especially in overacting muscles, to weaken particular muscles temporarily and improve the alignment of the eyes.
6. Surgery: Squint eye surgery is necessary to surgically align the eyes by adjusting the length or position of eye muscles. Surgery usually has to be performed when other treatments have not been very successful or in case a gross deviation is hurting vision or appearance.
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