- Date February 4, 2020
Misalignment of muscle leads to diversion of Eyes from central alignment called Squint.
The adjustment of the muscles, correct & misalignment the eyes,to give a good cosmetic look. Squint operation can be done at any age- from as early as 4-5 months and whenever necessary in adulthood.
Before Squint Operation
After Squint Operation
Preoperative Assessment
It is important to accurately measure the angle of deviation preoperatively. This can be performed by using prisms to neutralise the turn. It is also necessary to know preoperatively whether there is any paralysis or restriction of function of the eye muscles as this can affect the outcome and limit the chance of correction.
Anaesthetic
In children, a General Anaesthetic is recommended. Adults procedure can be performed under Local Anaesthetic. This makes it possible to optimise alignment in the course of the procedure.
Operation
Either resection or recession of muscle can be done to correct it
Post-operative Care
When fully awake the patient is allowed to go home. Eye-drops are normally prescribed. Some medication is also prescribed to minimise pain and discomfort. Severe pain is rare following these operations but the eye will be sore for 24hours and remain red for several days. Nausea and vomiting occasionally occur but is minimised with appropriate pre-operative medication.
Review
On the first day, at 1 week and 1 month. The final result of surgery is usually known within one month. Children require followup until they are no longer at risk of developing amblyopia
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