OP for strabismus

What happens during the procedure?

During the squint operation, the squint angle of the diseased eye is corrected by surgical intervention so that the eye axis is parallel to the healthy eye. The eye muscles that pull too hard on the eyeball are stored back and muscles that are too weak are tightened. For this purpose, the eye is not removed or cut open, but only the slightly healing conjunctiva of the eye is opened so that the surgeon can access the eye muscles.

In the so-called paralysis squint, the opponent of the paralyzed muscle is weakened in the course of the operation and the paralyzed muscle is either removed or folded. This is to ensure that the patient no longer sees double images when the head is straight.

In some cases, several follow-up operations are necessary so that the misalignment of the eye can be completely corrected.

When should an operation be performed?

Only slight misalignment (so-called latent squint) of the eyes is compensated by the brain without consequences. However, at approx 50% of the children with Squint the deformity operational be resolved.

Young children usually have surgery waiteduntil the child is old enough, one glasses to keep them open reliably, the eyes are about equally strong and the child sufficient cooperative can be examined by the ophthalmologist. Until it is ready for an operation, the squinting eye is prevented from weakening by the healthy eye covered and thus seeing with the weak eye is enhanced. in the Preschool age surgery is usually performed.

Children are just beginning late with the strabismus (normosensory late squint), so the doctor is possible swiftly advise surgery.

If a squint only occurs in Adulthood is established, but has existed since childhood, so the poor eyesight of the cross-eyed eye can be usually no longer improving. The operation is then only for cosmetic reasons. The rare one Paralysis squint occurs mainly in adults and is caused by sudden paralysis of the eye muscles. This form of squint is noticeable through:

• Double vision,
• nausea and Vomit.

After the possible causes have been clarified, one is surgery recommended.

Stunning methods

As a rule, in children, due to the fact that they keep still and how the operation may appear frightening, in general anesthetic operated on. In adults, the operation is usually performed under so-called Conduction anesthesia.

Of the Protective reflex the eyes is through the Anesthesia suppressed, as well pain and Move prevented so that an operation can be carried out unhindered.

If the patient finds manipulation of the eye unbearable, the operation can be carried out under general anesthesia, even in adults. However, here is always that increased stress to consider for the organism.

Duration of surgery

How long the operation takes depends on how many muscles have to be operated on and therefore the duration is very variable and should be treating surgeon can be requested.

Operational suitability

As a rule, young children do not have an operation until they do Preschool age achieved. Usually an operation is only performed when the eye deformity has remained constant for six months.

There are no other age limits.

OP risk

The operation can make you blind usually not, she is very much in this regard low risk. Considered to be very rare complications Secondary bleeding and Infections mentioned.

For a period of 48 hours after the procedure, it must be used primarily with eye movements Pain which can be treated with painkillers.

As a rule, the operation of the cross-eyed eye is only part of the overall treatment concept. Often is one regular follow-up treatment necessary by the ophthalmologist and also to that Wearing glasses can hardly be done without. In some cases, surgical corrections are required, which are not considered a failure of the therapy but conscientious aftercare may be rated.

Before the operation

If the operation is in general anesthetic is carried out, should be 6 hours nothing more before anesthesia eaten or drinking cloudy liquids. Clear liquids should also be avoided 2 hours before anesthesia. (Exception: preparation tablet (s) with a little water). Smoked should be on no more. If medication is taken in the morning, the responsible person should be contacted Anesthetists Discuss which medications can be taken before anesthesia.

OP process

Even at outpatient surgery the patient stays for some time after the procedure under observation until he feels fit for the way home. May on the day of the operation no car be driven and the patient should not be alone on public transport. For one Accompaniment so should be taken care of in advance.

Drops and ointmentsthat should be prescribed for the post-op period conscientious and according to regulations can be applied.

Aftercare

The doctor in charge informs the patient himself on the day of the operation when the Control appointment is set. This should urgent must be followed so that it can be checked whether the operation is as planned healed and whether sufficient correction of the eye muscle differences has been achieved.

Should fever or strong pain occur is immediately Contact the ophthalmologist.