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[Treatment of infantile strabismus with eye movement disorders]
T Baranowska-George1, W Andrzejewska, J Litwińska
1Katedry Okulistyki z Klinika i Zakladem Patofizjologii Narzadu Wzroku Pomorskiej AM w Szczecinie.
Insights
Early intervention using prisms can restore eye motility in young children with infantile strabismus. This localization method shows promise for treating early-onset strabismus effectively.
Area of Science:
- Ophthalmology
- Pediatric ophthalmology
- Strabismus treatment
Context:
- Infantile strabismus is a common condition affecting young children.
- Early diagnosis and intervention are crucial for optimal outcomes.
- Limited eye motility, particularly towards the temples, is a characteristic feature.
Purpose:
- To evaluate the efficacy of the localization method in treating infantile strabismus.
- To assess the application of hypercorrective and compensating prisms in very young children.
- To determine the potential for restoring eye motility in early-onset strabismus.
Summary:
- Seventeen children (0.5-5 years) with infantile strabismus and limited eye motility were treated with prisms.
- Initial treatment involved alternate eye occlusion with strong prisms (30-40 pr dptr), followed by compensating prisms.
- Partial or complete correction of eye motility was achieved in all participants.
Impact:
- The localization method, utilizing prisms, demonstrates effectiveness in early infantile strabismus management.
- Restoration of eye motility was observed, enabling further strabismus treatment.
- This approach offers a viable option for improving visual function in affected children.
Purpose:
Possibilities of application of localization method in the treatment of infantile strabismus in a very early period are presented.
Material And Methods:
The authors applied treatment with hypercorrective and compensating prisms in 17 children with infantile strabismus. The age of the children ranged from 0.5 to 5 years, mean age-1 year. All children were found to have no motility or limited motility of eyes toward the temples. Initially, the children's eyes were alternately occluded in prisms whose strength prevalently was 30-40 pr dptr before each eye, with base toward the temple. After 1-3 months motility of the eyes appeared. Next, glasses compensating the squint angle were worn, without covering the eyes, starting with 1/2 hour 3 times a day and gradually prolonging the wearing time. Hypercorrective prisms were further used with alternate occlusion of the eyes.
Results:
In all children partial or complete correction of motility was achieved. Further treatment of strabismus followed the rules of the localization method.