Strabismus

Conditions Treated

What is squint or strabismus? Squint or strabismus is a misalignment of the eyes that can result in the eyes not looking in the same direction. They may end up being either convergent or divergent in straight gaze, or one eye drifting upwards or downwards. This misalignment may become more evident when tired, while daydreaming, after a drink or following extensive close work and is usually noticed at the end of the day. It may be accompanied by double vision, headaches or blurred vision. Sometimes the squint is not noticed by the patient but by friends or relatives or picked up on in a photograph or video

Can a squint be treated? Contrary to popular belief, a squint can be treated irrespective of the age of the person. Some squints can be treated with glasses or contact lenses; others with Botox and some patients need a surgical procedure for a definitive cure.

The indications to operate differ but with a number of advances in microsurgical skills and techniques over the last few years squint surgery is now much safer and more successful than previously. When should a squint be referred?

All squints should be referred to an Ophthalmologist (and/or orthoptist) as early as possible. A squint may be correctable at an early age by the use of patches or glasses. At a later stage surgery or Botox may be required. A squint may present by itself or be secondary to an unsuspected pathology and thus all squint need to be investigated thoroughly.

What is Small incision squint surgery? Mr Jain has pioneered “Small Incision Squint Surgery” in the UK and the procedure is carried out through a small incision that hides under the lower lid leaving no visible scars. Read more here.

This is carried out under general anaesthetic and the duration varies with the number of muscles being operated upon with most cases lasting less than an half an hour. It is carried out as a day case procedure and the patient can go home the same day. Most adults have squint surgery using adjustable stitches which can be used to ‘fine tune’ the result postoperatively for the best cosmetic outcome.

Postoperative care? The eye is red following the procedure and drops to reduce the inflammation and prevent infection are supplied after the surgery. No patches or pads are needed . The redness wears off within three weeks Within this time swimming and heavy exercise are not advisable. Children may have to stay off school and adults off work for the first week. An immediate postoperative appointment is arranged within the first week and then after a month or so.

How do I contact Mr. Jain should I have a problem out of hours after surgery? Mr. Jain is always happy to receive calls if a patient is having difficulties after surgery. Call his secretary or the hospital at which the surgery was undertaken and they will give him your contact details. If you have any further questions, please feel free to send us an email.

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