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Paralytic strabismus in children
Last reviewed: 23.04.2024
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Paralytic strabismus in children is caused by paralysis or paresis of one or several oculomotor muscles caused by various causes: trauma, infections, neoplasms, etc. It is characterized first of all by the limitation or lack of mobility of the mowing eye towards the action of the paralyzed muscle. When looking at this side, doubling or diplopia occurs . If, with a friendly strabismus, the functional scotoma (functional inhibition) relieves doubling, then in case of paralytic strabism, another adaptation factor arises: the patient turns his head towards the action of the affected muscle, which, as it were, compensates for her insufficiency and eliminates doubling. Thus, there is a symptom characteristic of paralytic strabismus - involuntary rotation of the head. Often, such conditions are treated by orthopedists, in particular with curvature, although these children need compulsory advice and treatment of an ophthalmologist, and orthopedic therapy is ancillary.
The main treatment for unfriendly forms of strabismus is surgical. Often it is associated with complex plastic interventions on the oculomotor muscles.
Treatment of strabismus in children usually spend several years in time, during the formation of visual functions. This is facilitated by a system of early detection and treatment, as close as possible to the timing of the onset of the disease.
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