A squint, also called strabismus (भेंगापन), is the term used when the two eyes are not working together as a pair in the direction of interest. The affected eye may point outwards, inwards, upwards or downwards whilst the unaffected eye is focused towards the target object.
It's particularly common in young children, but can occur at any age. There can be various causes which may lead to squinting of eyes
Some known causes are –
Squinting usually does not improve by itself, cases have to be detected and treatment plans have to be made. Glasses may reduce the amount of squinting, but few cases may also require surgical intervention.
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It's not uncommon to come across babies with occasional inward turning of eyes during the initial 3 to 4 months of age, and it is considered normal as it is the time period when babies develop brain and eye coordination.
Some babies are born with squinting, but if this persists for more than 6 months of age, it is not normal and should be evaluated for muscle balance and other orthoptic assessment.
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Treatment of squint is an ongoing process, its management would require rigorous follow-ups with your ophthalmologist.
Three modalities have been identified for the management of the squint, glasses, patching of the one eye and muscle surgery. It is possible that your child might need a single or combination of the above-mentioned interventions.
These are helpful in correcting the refractive error, which will help in reducing the straining. With the use of glasses, the extent of squint may be reduced because the effort of over- focusing is reduced. Wearing glasses all the time is mandatory, which will have benefits over time.
Uncorrected squint will cause the impulses from the affected eye to be neglected by the brain, which will later lead to amblyopia (lazy eye). Patching is done to encourage the use of amblyopic eyes.
Surgery is not an alternative to glasses or patching. Primarily management should commence with glasses and patching and when once stable best vision is achieved by the child, then surgery may be planned. Surgery will help to re-align (binocular vision) and improve cosmesis as well. Surgery can be performed at any age even if a squint has been left untreated for a long time, but any vision problems may be permanent if the treatment has not been started at an early age.
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Early detection and intervention are the key factors that decide the duration of medical supervision. Usually, children undergo visual development and vision stabilizes by around the 7- 8 years of age, if they are treated during this time the results are better.
Squint (भेंगापन) in children is more than just a cosmetic issue—it can affect their vision and confidence if left untreated. Early detection, timely use of glasses, patching, or surgery can significantly improve both eyesight and appearance. With proper treatment, most children with squint can develop normal vision and lead a confident life.
At The Sight Avenue, we offer expert diagnosis and personalized treatment for squint in children.
Book your child’s eye check-up today and give them the clear vision they deserve!
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