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Don't Neglect Squint Eyes
Squint eyes over time have been looked upon as a black spoton the human beauty. Nevertheless, that will has been posing the
prospective brides with innumerable problems in matters of
matrimony. However of a beauty she might be, one look at her
eyes the boy turns her down. Such boys do not care to probe
whether squint eyes can be set right.
Sometimes, on the various other hand, people with squint are considered
lucky inside society. yet the Ophthalmologists who know the
consequences of squint, do not think so. On the contrary, they
stress the disadvantages in addition to negative aspects of squints- as
outlined below.
The two eyes normally should be in a definite visual axis.
A manifest deviation of the visual axis of either eye is usually known
as squint or strabismus. So one eye is usually deviating or squinting,
the various other eye takes up the visual function mainly. So that will
becomes a dominate eye. Most of the time, the deviating eye
slowly becomes impaired functionally. Later that will almost becomes
blind. This specific hard fact will not be known to the squinting person
unless he closes the Great eye in addition to tests for the various other eye vision.
When the degree of squint is usually gross, that will is usually very easy to recognise
that will. yet when there is usually a smaller amount of squint, various tests
have to be done to diagnose correctly the type in addition to amount in addition to
presence of squint.
Mainly there are two types of squint -paralytic in addition to non-paralytic.
There are seven smaller muscles around each eye-ball, which are
responsible for the various movements of the eye. These muscles
are supplied by 3rd,4th, in addition to 6th cranial nerves- which are derived
through the brain.
Whenever these nerves become weak or lose their conducting
capacity, the respective eye muscles become immobile. So when
the various other normal eye moves in a particular direction, if the
affected eye cannot move inside same direction, squint becomes
evident which is usually a paralytic squint.
Non- paralytic or concomitant deviations are for the most part,
produced by anomalies of the power of convergence in addition to divergence
in addition to the co-ordinated use of the two eyes to obtain binocular
single vision. In these cases the amount in addition to character of the
deviation does not vary when the eyes are turned to the right
or left.
Before going to the causes of squint, that will is usually necessary to know
the necessity of two eyes. that will is usually the fact that will when we observe a
single object with both the eyes we see that will as an individual object
instead of two. Obviously one may ask -what is usually the necessity of
having two eyes? Even if one becomes blind, the various other one can
function normally - one may think.
One eye is usually always complement to the various other eye. When we see
with both eyes, the extent or field of vision is usually definitely wider
than with one eye. Moreover, two eyes are necessary to have
what we call as " BINOCULAR SINGLE VISION" the important
aspect of This specific being depth perception. There are 3 stages in This specific
binocular single vision.
1. Simultaneous perception.
2. Fusion.
3. Steriopsis ( the one which gives the sense of depth )
The development of reflexes concerning the binocular single
vision in addition to the movements of eye muscles - are not complete
until the child is usually 5 years. Usually This specific will be established
when the child becomes 8 years old. So any disturbances during
This specific period ( below 5years ) may hamper the relation between the
movement of the two eyes in addition to may cause a squint.
Causes of Squint :
1. Accommodation in addition to convergence anomalies.
2. Refractive errors.
3. Weakness inside nerves supplying the eye muscles.
4. The gross difference inside vision between 2 eyes
due to any reason.
5. Patching or closing of one eye for a prolonged period.
6. Defect inside development of the nerves between retina
in addition to the brain.
7. Hereditary in addition to genetic or familial causes.
Clinically, there are two types of squints - Convergent Squint-
when one or both eyes are turned in, in addition to Divergent Squint -
when one eye is usually turned outside the normal visual axis.
Treatment :
No case of squint can be said to be 'cured' unless, in addition
to normality of appearance, there is usually restoration of binocular
single vision in all circumstances. Although the latter cannot
be achieved in every case, a satisfactory cosmetic result can
invariably be obtained by means of operation or surgery.
In a case of squint there may be three possible defects of
function which have to be remedied:
1. The loss of normal function of the squinting eye. This specific
may not only concerns visual acuity yet also visual
localisation.
2. The loss of normal binocular function.
3. The physical deformity caused by the deviation of the
visual axis. This specific is usually the defect which attracts the attention of
parents yet is usually the least important through the point of view
of visual function.
To give complete treatment, child should be between 6 in addition to
8 years. So the parents in addition to school teachers have a very
important role to play. They should subject these squinting
children for treatment at the earliest. Because any treatment
or surgical correction done after the age of 8 years is usually not
complete or perfect because then we can only correct the
physical deformity yet we cannot get the very important
functional part of that will i.e. binocular single vision. So most of
the time in persons who are treated for squint after the age
of 8 years, one eye would certainly be stronger, various other eye would certainly be
weaker. They will not have binocular single vision - which
can give them the exact form in addition to depth perception.
The methods of treatment:
1. Correcting the refractive errors - by glasses whenever
refractive error is usually found to be the cause of squint.
2. Deliberate occlusion or patching of the fixing eye so as
to improve the vision of the squinting eye.
3. By special type of (orthoptic ) exercises in order to
improve the binocular faculties.
4. By operation or surgery - to restore parallelism of the
visual axis.
One or more of these methods or all four may be needed in any individual
case.
Finally that will is usually the dire responsibility of the parents in addition to the
teachers to detect This specific malady, which renders their children
look ugly inside eyes, during the tender age of 6 to 8 years
lest that will is usually practically impossible to develop a squintless society.
-- Dr.H.S.Mohan
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