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Strabismus

The results of strabismus treatment at the Yasniy Vzor clinic are among the highest in Russia and abroad.

Such the level of recovery indicators for our patients is due to the use of innovative, high-tech methods of diagnosis and treatment, many of which are unique and are our author's developments, implemented and successfully applied by us for more than 10 years. These technologies are of constant interest to our foreign colleagues, as they differ significantly from conventional methods of treatment.

Improving technologies for treating various eye diseases in children is our constant absolute priority.

  • Mathematical modeling of strabismus surgery
    We have developed and implemented a method of individual mathematical modeling of strabismus surgery, which allows calculating the effective magnitude of rotation of the eyeball to achieve a symmetrical position of the eyes, based on the individual characteristics of each particular patient. We can use this model to show parents and patients how their eyes will be arranged after the surgery. Modeling allows reducing the number of planned stages of surgical treatment, that is, it reduces the number of surgical interventions.
  • High-frequency radio-wave surgery
    We have developed a technique of high-frequency radio-wave surgery for strabismus operations, instead of using a scalpel and scissors. The use of high-frequency radio-wave surgery may reduce the trauma rate of the operation by several orders of magnitude, to increase its precision, and to reduce the rehabilitation period by 5-6 times. It is due to this technique that the patient can read, write, and watch TV with the operated eye on the day of operation without discomfort.
  • Individual approach to treatment
    Today, there are more than 25 types of strabismus, divided by reason of origin and nature. That is why we always select the treatment of strabismus strictly individually depending on its type and do not use a unified approach for all cases, as is usually practiced. Our technologies allow rehabilitating patients with very complex cases. We have more than 30 standards of various treatment tactics in our inventory. In each case, we apply the standard that is ideal for a specific individual case of eye movement disorder that leads to strabismus.

The result of strabismus treatment at Yasniy Vzor

If the treatment of strabismus is carried out in a timely, comprehensive, and individual manner, then the child can be fully rehabilitated in 98% of cases or:

  • To recover the symmetric position of the eyes,
  • To achieve high visual acuity of the squinting eye,
  • To recover the ability to three-dimensional stereoscopic vision (perception of the world in its entirety and fullness or in the 3D format).

What does strabismus threaten a child with?

Strabismus is a disease that requires treatment. The absence of a symmetrical position of the eyes leads to deep functional disorders of the visual system. Moreover, strabismus may not be the primary condition but the result of another, a sometimes very serious disease of the visual organ. Children's strabismus is not a cosmetic problem. In the case of children's strabismus, the functions of all parts of the visual analyzer, from the periphery to the visual centers of the cortex, are disrupted. In the case of strabismus, serious functional disorders of the entire visual and oculomotor system of the child occur: a child with strabismus can not merge images from both eyes into a single image, it sees the world flat because it can not perceive the spatial volume, i.e. the 3D format.

Complications of strabismus

Strabismus usually occurs in children 3-5 years of age but it can also be a congenital condition. Visual functions are gradually impaired in the squinting eye, which is expressed by a decrease in visual acuity. In a child with strabismus, visual acuity decreases and amblyopia develops, which is a serious complication when the squinting eye is gradually turned off from the visual process. And vision with amblyopia remains low even with glasses.

When to start treating strabismus?

The treatment of strabismus should be started as early as possible since the formation of the child's visual system occurs before 4 years and it is finally completed by 6 years. This is the most flexible age when the correct formation of the child's visual system can be influenced with the maximum efficiency. Strabismus itself will not disappear!

In the case of primary strabismus and timely treatment, it takes from 3 months to a year to fully recover, if using our technology. In complex and advanced cases, the recovery period increases significantly.

A child with strabismus should be rehabilitated as much as possible before starting school. It takes much longer to improve visual functions in older children and in some cases, it is not always possible to achieve a full recovery.

Our modern technologies of strabismus surgery

Individual modeling of strabismus surgery

STRABO

When performing eye surgery, precision is of high importance, especially when it comes to the eyes of a child. Such precision can be achieved if the operation is calculated, i.e. modeled in advance.

Many years of experience of the team of doctors of our association under the leadership of PhD., Member of the Academy of Medical and Technical Sciences of the Russian Federation, Professor Igor Aznauryan, led to the creation of the Strabo program for mathematical modeling of strabismus.

We take into account the individual anthropometric characteristics of the child, the interpupillary distance, refraction of the eyes, the angle of strabismus, and we can calculate the angle of the eye rotation and determine the number of stages (number of operations in the case of strabismus, i.e. 1,2, 3, or 4) that this child needs to make its gaze straight with pinpoint precision. Using this program allows not only precise calculating the scope of operations but also minimizing the number of required operations, if possible. And we can show the planned result of strabismus surgery to parents even before it is performed.

До
Before
После
After

Surgical treatment of strabismus

It is always decided individually whether to perform surgery of strabismus or not. Only a pediatric eye surgeon who follows up the child can determine its necessity as a stage of complex treatment of strabismus, as well as the terms of its conduction.

85% of cases of strabismus (regardless of whether it is congenital or acquired; permanent or periodic) require the surgical stage in treatment is required for full rehabilitation. The method of operation depends on the type of strabismus; we have 12 different methods of surgical treatment of strabismus. The choice or combination of these methods depends on the specific case of a muscle imbalance between the oculomotor muscles.

The operation of strabismus is performed in order to make the view symmetrically even. If the operation is prescribed, do not postpone it. The earlier the operation is performed, the faster the conditions will be created to increase visual acuity and complete rehabilitation of the child.

Technology of the surgical stage

We have developed high-frequency radio-wave surgery for strabismus. This is the latest, safest, and most precise technology in the world for oculomotor disorders surgery, which is recognized by our colleagues, children's eye surgeons abroad.

We have abandoned the use of traditional scalpels and scissors in favor of radio-wave technologies. We don't cut or sew anything, we preserve the structures of the eye.

High-frequency radio-wave surgery allows:

  • Minimizing the trauma rate of surgery to correct oculomotor disorders
  • Ensuring the highest precision of strabismus surgery
  • Reducing the rehabilitation period by 5-6 times
  • Healing occurs without scarring or tissue changes
Глаза через три дня после обычной хирургии косоглазия
Глаза через три дня после высокочастотной радиоволновой хирургии

Surgical treatment of strabismus

It includes the following activities:

  • treatment of amblyopia (if any) using various methods, depending on the complexity of the disease;
  • vision correction (particularly, if there are farsightedness and astigmatism);
  • assigning glasses and wearing glasses according to a special algorithm during and after treatment;
  • recovery of binocular vision (recovery of "bridges" between the eyes; the child learns to merge images in the right and left eyes into a single visual image);
  • stimulation of the functions of various parts of the visual system from the retina and optic nerve to the cerebral cortex, including through medical procedures.

During the treatment of strabismus, patients should undergo a set of additional examinations every 1-1.5 years in order to exclude serious complications at the level of the fundus and optic nerve.

The main causes of strabismus in children

According to statistics, 2-3% of newborns are born with strabismus. In the first years of life, strabismus occurs in 7-10% of children as a complication of another eye pathology.

The most common cause of strabismus is an impairment of the ability to merge two images from the left and right eyes into a single three-dimensional image and, as a result, an impairment of the balance between the oculomotor muscles.

Moreover, the following may become the cause of strabismus:

  • optical abnormalities (nearsightedness, farsightedness, as well as congenital defects of the structure of the oculomotor muscles and the skeleton of the eye sockets),
  • concealed or expressed pathology of various degree on the part of the central nervous system,
  • endocrine pathologies, hormonal imbalance.

Against the background of various prerequisites, physical or mental trauma, stress, load on vision, or high temperature may provoke the development of strabismus.


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