SQUINT (INFANTILE ESOTROPIA)

[vs007008]

Sir, i have one query about my son who is 5 and half year having
infantile easotropia.His squint was observerd firts time when he was arnd  2 yrs old(he was premature bornAll of them have adviced us surgery as he has got  convergent squint in both eyes.
Apart from squint he has vision of 6/18(either with glasses or without glasses vison remains same)
He is using glasses of very small number with spherical and cyindrical numbers.
His cylindrical number is arnd +1.00 in LE and 0.5 in RE.
Now my query is that when to go for his surgery? what is the right age of surgey?
and secondaly is his loss of vision recoverable after surgery and how to improve his vision and can help in not further detroing his vision.How his vision can be restored to normal 6/6 vision.


THNX IN ADVANCE

[John C Hagan III, MD, FACS, FAAO]

You're welcome JCH MD

[vs007008]

Thnx  a lot

[John C Hagan III, MD, FACS, FAAO]

I would strongly suggest you get a second opinion about your child's eye situation from the best pediatric ophthalmologist that you can travel frequently to see.

1. Surgery for congential esotropia is usually done very early often within the first year or two of life.
2. Surgery for CET does not improve vision it only improves the cosmetic appearance of the eyes.
3. Reduced vision in the eye is called amblyopia and may require glasses and extended patching.  Vision of 6/6 if often not obtained.
4. Since vision is down in both eyes they child may have other problems in the eyes related to his prematurity.

This often runs in families. Make sure all your children are checked as well as nieces/nephews early in life.

JCH MD