Squint is a misalignment of the two eyes so that both the eyes are not looking in the same direction. This misalignment may be constant, being present throughout the day, or it may appear sometimes and the rest of the time the eyes may be straight (intermittent).
It is a common condition among children. It may also occur in adults.
In a child, the parents may notice the deviation of eyes. It is important to remember that the eyes of a newborn are rarely aligned at birth. Most establish alignment at 3-4 weeks of age.
Therefore squint in any child who is more than one month old must be taken seriously and should be evaluated by an ophthalmologist. Adults may notice double vision, or misalignment of the eyes.
When the eyes are not aligned properly, each of the eyes is focusing on a different object and sends a different signal to the brain. These two different images reaching the brain lead to confusion and may have either of the two effects:
• A child would ignore the image coming from the deviated eye, and thus sees only one image. But in the process, he loses the depth perception. This suppression of the image from the deviating eye results in poor development of vision in this eye, which is known as amblyopia or a lazy eye.
• An adult can not ignore the image from either eye, and therefore has double vision. This can be very annoying and may interfere with work.
In a child, the treatment of squint and any associated amblyopia should be started as soon as possible. Generally speaking, the younger the age at which amblyopia is treated; the better is the chance of recovery of vision. Remember that the child would never grow out of squint. A delay in treatment may decrease the chances of getting a good alignment and the vision.
- People with a family history of Glaucoma
- People over 40 years of age.
- People with Diabetes.
- People who have used steroids for a long period of time.
- People with physical eye injuries.
A comprehensive eye check-up by an ophthalmologist is the best way to detect glaucoma. A complete eye examination includes measuring IOP and evaluating the drainage angle of the eye and the optic nerve. Additionally, visual field tests are used to evaluate the peripheral vision of each eye and an OCT examination is done to assess the optic nerve and retinal nerve fiber structure.
The optic nerve is a bundle of more than 1 million nerve fibers. It connects the retina, the light sensitive layer of tissue at the back of the eye, with the brain. A healthy optic nerve is necessary for good vision.
While there is no cure for glaucoma, elevated IOP is currently the only treatable risk factor. It is important to treat aggressively with the most effective products such as prescription eye drops that can provide maximum reduction of elevated IOP with long term control. In some cases, surgery can also help. It is important for patients to use medication as prescribed and maintain regular examinations with an ophthalmologist who can evaluate glaucoma progression and treatment options.
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