Examination for Squint
At Clinica London we assess children and adults with squint and do medical treatment or surgical correction as required.
The child or adult is first assessed with eye measurements by the orthoptist
They may need a refraction or glasses check.
The Consultant Specialist then sees the child or adult with the results. They will want to know the amount of squint present, whether the patient gets double vision, whether there is binocular vision (ability to use the two eyes together) and in particular whether the patient has good quality three dimensional vision.
More about the different types of Squint
This can herald amblyopia or a lazy eye, there may be a cataract or retinoblastoma and the child must be assessed by the orthoptist and children´ eye doctor.Childhood squint is most commonly turning in of one eye, an esotropia. It can be treated with glasses +/- patching of the better eye, or with surgery, usually around the age of 4 years.
Thyroid Eye Disease
This occurs predominently in adults and is a restrictive squint where one or more muscles are thicker and more fbrotic so are restricted in their movements. These patients can have double vision from either an esotropia (eye turning inwards) or vertical double vision if t¡one eye is higher than the other, a vertical tropia, such as hypotropia and hypertroipa, the affected eye lower or higher respectively. Thyroid squint is treated with surgery once it is stable.
Exotropia in Adults
This commonly occurs when the two eyes drift apart and become wall eyed. It can be corrected either with tiny amounts of toxin into the stronger muscle or with surgery.
There are many other causes of squint and full assessment is advised.