Does strabismus require dilated refraction?

Written by Li Zhen Dong
Ophthalmology
Updated on September 05, 2024
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Strabismus also requires dilated refraction to investigate the causes and characteristics of refractive errors, which include myopia, hyperopia, astigmatism, and amblyopia. Additionally, it could be related to other eye conditions. Strabismus in adolescents is mostly caused by amblyopia and sometimes congenital issues. If strabismus is solely due to refractive errors, it can typically be corrected gradually through dilated refraction and proper eyeglass fitting. However, congenital strabismus generally requires surgical treatment. Therefore, it is quite necessary to perform dilated refraction again in cases of strabismus.

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Written by Li Zhen Dong
Ophthalmology
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Does strabismus require dilated refraction?

Strabismus also requires dilated refraction to investigate the causes and characteristics of refractive errors, which include myopia, hyperopia, astigmatism, and amblyopia. Additionally, it could be related to other eye conditions. Strabismus in adolescents is mostly caused by amblyopia and sometimes congenital issues. If strabismus is solely due to refractive errors, it can typically be corrected gradually through dilated refraction and proper eyeglass fitting. However, congenital strabismus generally requires surgical treatment. Therefore, it is quite necessary to perform dilated refraction again in cases of strabismus.

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Written by Tao Yuan
Ophthalmology
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Does strabismus diplopia occur in the early stages or later stages?

Patients with strabismus often exhibit symptoms of double vision in the early stages of the condition. Strabismus is a common ophthalmologic disease characterized by non-parallel visual directions of the eyes and uncoordinated eyeball movements. When one eye looks straight ahead at a target, the visual direction of the other eye may deviate. Based on the direction of deviation, strabismus can be further divided into types such as esotropia, exotropia, and vertical strabismus. Due to the inconsistent visual directions of both eyes in strabismus patients, the scenes viewed by each eye are different. The brain cannot merge the different views from both eyes, resulting in the appearance of double vision symptoms. The more severe the symptoms of strabismus, the more pronounced the symptoms of double vision typically are, and strabismus can be treated surgically to eliminate symptoms.

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Written by Li Zhen Dong
Ophthalmology
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Can strabismus and myopia be treated at the same time?

Surgery for strabismus and myopia cannot be performed at the same time. Strabismus involves surgery to adjust the eye muscles. There are two surgical methods for myopia: one is corneal laser ablation surgery, and the other is ACL surgery. Myopia surgery mainly requires stable vision, the patient must be over 18 years old, have a strong desire to stop wearing glasses, and have a clear diagnosis from examinations, then surgery can be considered. Strabismus must be classified; early stage paralytic strabismus is generally not advised for surgery. Concomitant strabismus may be treated surgically. If there is also refractive error, dilated refraction and prescription glasses should also be considered.

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Written by Tao Yuan
Ophthalmology
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Will strabismus worsen if it is not treated?

Strabismus, if not treated, can potentially deteriorate over time. Strabismus is a common ocular disease, often caused by congenital developmental anomalies or external injuries to the eye, leading to misaligned visual axes. It can affect the appearance of the patient and may lead to complications such as amblyopia, as well as symptoms like double vision. Currently, surgery is the primary treatment method. The operation adjusts the position of the eye muscles' attachments and alters the tension of the eye muscles, thereby restoring the normal positional relationship between the eyes and aligning their visual axes. Patients need to visit the ophthalmology department of a hospital for an in-person examination and undergo comprehensive strabismus testing to determine the specific surgical plan. Without treatment, the degree of strabismus may continue to increase, leading to a worsening of symptoms.

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Written by Li Zhen Dong
Ophthalmology
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Do both eyes undergo strabismus surgery at the same time?

Whether strabismus surgery is performed on one eye or both eyes at the same time depends on the degree of strabismus, the condition of the dominant eye, and the nature of the strabismus, such as concomitant strabismus, paralytic strabismus, etc. It needs to be decided whether one eye or both eyes should be operated on. If the degree is quite severe, operating on the muscles of one eye may not resolve the issue, and it might be necessary to operate on the muscles of the other eye as well. However, a maximum of three rectus muscles can be operated on in one eye at the same time. Operating on more can lead to some complications. Therefore, whether to operate on one eye or both eyes should be determined based on the patient's actual condition.