Squint and nistagm


  • What is a squint
  • Cultural treatment
  • What is Nistagm
  • Nistagma treatment

  • At birth, the child does not know how to watch «two eyes».
    Ability to binocular vision, i.e. to vigio in two eyes,
    It is formed from him gradually and continues until four to six years. So
    as it happens gradually, it can be easily broken. Everything
    Newborn have a farewell of about three diopters. At the same time focus
    does not fall on the retina, but is behind it. As the child grows
    Increases in size and eyeball, and optical focus
    moves to the retina. Some children, due to various reasons,
    have limitedness above three diopters. To clearly see objects,
    they have to strain their eyes. This is a voltage and is often
    The main prerequisite to the occurrence of pathologies.

    Most often parents turn to the children's ophthalmologist, noting that
    The eyes of the crumbs are watching «not properly», What is associated with pathologies
    Overall apparatus. Indeed, squint and nistagm
    associated with eye violations, although the problem itself is much deeper
    and affects many of the functions of the body, including the work of the departments
    brain responsible for vision.

    What is a squint

    Squint is not only the problem of appearance, when
    This is violated by work in almost all sections of the visual system.
    Most often it develops in children with farewell and
    astigmatism, less often - with congenital and early acquired myopia.

    Most often, squint arises between one to three years.
    Diverging squint meets less frequently than coming. At
    Space in a constantly oblique eye gradually reduced
    Acute view, that is, amblyopia develops. This complication is associated with
    by the fact that the visual system, in order to avoid chaos, is blocked
    in the brain image of an object that is perceived by a kosy eye.
    Such a state leads to even greater deviation of this eye, and
    The vicious circle is launched.

    Any suspicion of deviation from the norm should alert parents and
    Move to the speedy visit to the children's ophthalmologist. The process of loss
    vision depends on the age of pathology. If this
    happened in early childhood, in the first year of life, then decrease in acute
    vision is very and very fast.

    Competent specialist will reveal the presence or absence of a child
    hyperopia (myopia), sharpness and nature of view, angle
    Spacese. If necessary, will send for advice to other doctors,
    For example, to a neurologist.

    Squint and nistagm
    Only after a thorough examination may be a comprehensive
    Cultural treatment. In the presence of hyperopia or myopia,
    Indications, child prescribed glasses. Sometimes they completely fix
    strabismus. However, even with this position of things of one wearing glasses
    Not enough. Since the disease is systemic, then the approach to treatment
    should be the same. The conservative part of treatment includes methods,
    aimed at raising visual acuity. It is very important to restore
    «Bridges» between eyes to teach a child to combine images with
    right and left eye in one image.

    In the course of treatment at a certain stage, if there is indications, it is carried out
    Surgical intervention on the muscles of the eye. Operation directed by
    Restore the correct balance between the muscles leading to
    Traffic eyeballs.

    There are methods of surgical treatment of strabismus that allow
    fix not only its constant big, but also successfully treated
    non-permanent deviations, as well as squint with small angles
    Deviations of the eye. Essence of such specific operations on
    Ocean Muscle, which are held on the micron level,
    lies in changing the point of the application of force - the lever rule,
    familiar to all of the school program.

    After the operation requires further
    Rehabilitation measures to help bring
    Stereoscopic vision and localization (accurate definition) of objects in
    space - all step by step. Unfortunately, in some cases
    The treated methods used are fragmented.
    More often from the whole complex that requires a systematic approach, choose and
    treat something one, for example amblyopia. Sometimes rushing with operational
    intervention. Never treatment «Slices» will not be successful!

    The cause of seproinability at an early age may be:

    • Hereditary predisposition when the disease is near the nearest relatives (parents, uncle, aunt);
    • The presence of a particular optical defect (defocus),
      most often it happens with farnabream in children. You also need to consider,
      What, as a rule, hyperopia is combined with converging squint,
      and myopia - with diverging;
    • various intoxication (poisoning) of the fetus during pregnancy;
    • severe infectious diseases;
    • neurological diseases (hydrocephalus, an increase in intracranial pressure);
    • The impetus to the emergence of the squint on the background of the prerequisites can serve as a high temperature, physical or mental injury.

    Cultural treatment

    I want to emphasize
    Initiality of both early surgery of the squint and unreasonably
    Long conservative treatment. Reference place in treatment
    The squint should be predetermined not so much by the patient's age,
    How much view of the squint and the nature of functional disorders
    Spectator system. It is important to understand that the operation does not replace
    Therapeutic techniques, and solves a specific task that
    It is impossible to solve conservative.

    Squint occurs in 3% of children, including all types of disease. If
    deal seriously, the cure takes place in 97% of cases.
    Rehabilitation in space involves the achievement of three main
    Functional results: high visual acuity, symmetrical
    positions of the eyes and stereoscopic visual perception.

    There is another extreme - many doctors still stubbornly
    They say that up to 6 years nothing needs to do and everything will pass. This is
    the greatest misconception - if you do not take any measures for so long,
    then you can get complications, and then the treatment will require much more
    forces and time, and sometimes happened for the period «Expectations» Changes already
    irreversible. Treatment need to start as early as possible.

    Sometimes the squint is impaired: due to broad bridges
    Newborn Parents under-
    rose the presence of this defect view, and it really is not - this
    Just illusion. That's exactly, in this case, everything is really with
    age passes and nothing needs to be corrected, but to determine, imaginary
    This is a squint or real, only a doctor can.

    What is Nistagm

    Squint and nistagm
    Another pathology of the oculomotory apparatus in children is
    Nistagm. At the same time, the diagnosis is not installed in general and eyes
    constantly perform spontaneous chaotic movements of different
    amplitude, because of what the image on the retina is always defocused.
    Nistagm is the hardest pathology of the visual system associated with
    disorders of the central nervous system, with the pathology of the eye dna and
    Spectator nerve. Congenital nystagm in children is found enough

    Among the causes of its occurrence can be called birth injuries, and
    Disorders of intrauterine development. Also nystagm can provoke
    Albinism is a hereditary disease manifested by a decrease or
    Full absence of skin pigmentation, hair, eyes (eye-skin
    Albinism) or only eye (eye albinism). Children with albinism
    have very white skin; eyebrows, eyelashes and hair are completely deprived
    Pigment. Due to the lack of pigment in the retina, functions are broken
    Nervous cells of the retina, in addition, in children with this disease
    Initially, there are violations both in the central field of retina and
    in a visual nerve. As a result, Nistagm arises.

    Nistagm in almost all cases is combined as with organic
    (irreversible) changes in the visual system (partial atrophy
    optic nerve, dystrophic changes in the eye day) and with
    functional (reversible) violations. Latest in Nistagma
    develop against the background of concomitant pathology, first of all
    Farcastic, astigmatism, myopia or squint. Wherein
    The disease on the eye day is formed a blurred fuzzy image. TO
    This adds constant movement of eyeballs and offset
    Images. As a result, the highest departments of the central nervous system
    The fuzzy picture is passed, so the auditorium cortex of the head
    the brain is not evolving and visual acuity decreases.

    Nistagma treatment

    In suspected a child of this pathology, he should immediately show
    ophthalmologist and neuropathologist. It is necessary to conduct a survey
    brain on magnetorezonance tomograph. This will allow you to reveal
    Possible organic disorders. Many clinics are not taken for treatment,
    considering this pathology hopeless, but it is necessary to compete for vision in any
    case. With a comprehensive approach, very good results are possible,
    When both therapeutic and surgical methods are used.
    Conservative hardware treatment of children with nastagm is directed to
    Increase of visual acuity, reduction of blood circulation inside the eye,
    Improving the activity of the metabolic process in visual cells.
    Treatment must be carried out in conjunction with the neuropathologist, courses for
    two or three weeks several times a year. Under nystagme applied
    Special operations on the muscles of the eye aimed at reducing
    amplitudes and frequency of oscillatory movements. Treatment is enough
    Long, little patient must be under constant
    Dispensary observation. The goal is to improve sight to
    The child could study in an ordinary school, adapt among the peers.

    The pathologies of the ocudual apparatus have a serious impact on
    Formation of the entire visual system of the child. Therefore, treatment must
    to be started as early as possible to prevent the development of complications
    and accelerating the functional rehabilitation of a child. As visual
    The kid system is in constant development, in children of the younger
    Age All used methods are more effective. To school child
    must be maximally rehabilitated. In older children
    It takes a much larger time to improve visual functions and
    In some cases, it is not always possible to achieve complete recovery.

    And, of course, very good when the child is engaged in experienced
    Specialists, but in no case cannot be lazy. Necessary
    do problem constantly until full cure, and not throw
    Everyone as soon as good cosmetic results appeared. In such
    The case of interrupted treatment will not bring benefits, it will not be fully solved
    The problem with vision and everything will return «Over the circles».
    It should be remembered that the correct diagnosis and adequate
    Timely treatment is the key to full rehabilitation of small
    Patient, healthy shine and joy in his eyes.

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