Treatment of strabismus
Last reviewed: 20.11.2021
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In domestic and foreign practice, the system of complex treatment of friendly strabismus is used. Treatment should begin with the appointment of optical correction of refractive disorders and the constant wearing of glasses. This ensures the restoration of visual acuity and helps to eliminate or reduce the angle of strabismus.
With a decrease in visual function, pleoptotic treatment is prescribed (pleoptics - treatment of amblyopia), which includes:
- occlusion (sealing better seeing eye);
- various kinds of light stimulation of visual functions (local light on Avetisov, method of negative successive images of Kuppers);
- The Campbell method, based on the stimulation of spatial and contrast sensitivity;
- methods of laser stimulation;
- computer pleoptics with the stimulation of color, contrast sensitivity with the use of moving tests and the game nature of the procedures.
Wearing glasses and pleoptical treatment is performed by iodine by systematic monitoring of the doctor with repetition, if necessary, of treatment sessions. Often it is carried out in specialized preschool and school institutions (kindergartens, schools, sanatoriums, children's vision offices - district, city, regional, republican). Treatment is carried out by specially trained nurses - orthoptists.
To the surgical stage resorted, if the glasses do not eliminate deviation (70% of patients) within 1.5-2 years. It is advisable to carry out the operation at preschool age if strabismus occurs before 3-4 years.
Often, surgical treatment is carried out in two to three stages with an interval of 6-8 months, especially in complex and combined forms of the disease.
To restore binocular vision use the system of orthopto-diploptic treatment (pre- and postoperative).
Methods of orthopto-diploptic treatment are performed on special devices that stimulate binocular visual functions and lead to the restoration of deep and stereoscopic vision, and they are also conducted by sisters-orthoptists in courses that are systematically repeated.