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[Treatment results of squint and incorrect fixation in infants]
1Katedry Okulistyki z Klinika Okulistyczna, Szczecinie.
Insights
Early intervention with prism glasses and euthyscope irradiations effectively reduced squint angle and improved fixation reflex in infants. This treatment approach is beneficial for managing infantile strabismus and nystagmus.
Area of Science:
- Ophthalmology
- Pediatric Ophthalmology
- Strabismology
Context:
- Infantile squint and nystagmus present significant challenges in pediatric eye care.
- Undeveloped fixation reflex is a common comorbidity in infants with visual disturbances.
- Early diagnosis and intervention are crucial for optimal visual development in infants.
Purpose:
- To analyze the efficacy of medical examination and treatment for infants diagnosed with squint and undeveloped fixation reflex.
- To evaluate the outcomes of a multi-group treatment strategy involving spherical and prismatic glasses, and euthyscope irradiations.
- To assess the effectiveness of conservative prism treatment for nystagmus in infants.
Summary:
- A study involving 215 infants with squint and/or nystagmus categorized them into five groups based on fixation status and strabismus type.
- Treatment involved custom-compensated spherical and prismatic glasses, euthyscope irradiations for eccentric fixation, and prism-based head alignment correction for nystagmus.
- The study observed a reduction in squint angle and improvement in fixation reflex across various patient groups.
Impact:
- The findings support the utility of prism-based treatments for managing infantile strabismus and related visual impairments.
- Early application of localization method prisms shows promise in improving visual outcomes for very young children.
- This research contributes to evidence-based practices in pediatric ophthalmology for addressing complex visual conditions in infants.
Purpose:
Analysis of the results of medical examination and treatment of infants with squint and undeveloped fixation reflex, and with nystagmus.
Material And Methods:
215 babies with these distempers were classified to the treatment. The children were included into five prophylactic groups: group 1-66 babies with eccentric fixation and without squint or with periodic squint; group 2-60 babies with acentric fixation and with manifested convergent squint at a visual angle from 25 degrees to 45 degrees (average 35 degrees); group 3-55 babies with correct fixation and with manifested convergent squint at a visual angle from 25 degrees to 45 degrees (average 35 degrees), and with divergent squint at a visual angle from 5 degrees to 20 degrees (average 12.5 degrees); group 4-12 babies with correct fixation and with periodic squint; group 5-22 babies with nystagmus. The treatment consisted in wearing spherical and prismatic glasses strictly compensating the squint angle, and in the treatment of eccentric fixation with euthyscope irradiations. The babies with nystagmus were treated conservatively by prisms correcting head arrangement.
Results:
Eventually the squint angle reduced and fixation reflex in part of all tested groups. In our opinion, the treatment of very small children by localisation method prisms is very useful.