bluestar
Forum Guru
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1 y/o strabismus, what's the most appropriate treatment?
a, surgical correction ASAP
b, each eye patched for a month, the alternate sides
c, eye patch only the good eye
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| bobby
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C
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| chemamr
Moderator and PGY1
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go with C, too
PLEASE EXPLAIN THE ANSWER
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| tamar
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c.
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| aliakram
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c
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| bluestar
Forum Guru
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answer is a. We only use eye patch when preparation for the surgery. So I guess surgery is treatment of choice in strabismus.
I have a question with eye patch, do we cover eye alternately? cuz if we cover the good eye for too long then the good eye would become a lazy eye as well. is that true?
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| aliakram
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blue answer is Covering, surely. Surgery is last option as we r trying to avoid amblyopia here. cya
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| aliakram
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Once the normal is covered the other eye comes to refixate in this way it is stimulated to not lose its position. While doing that one has to make sure that the child has no refraction problem or an opacity in any media of eye. If that is the case then appropriate tehrapy is initiated. In case after an adequate time (which only eye ppl can tell) this does nt work a surgical option is explored. Surgery in this case is not a primary option as yet.
Secondly covering the good eye does not make it lazy. As when treating this case he need to make sure the other eye(defected one) muscle tone and direction is maintained. Regular eye muscle excercises are done periodically as routine by parents(as explained by eye doc), which involve covering the one eye at a time. This thing avaoid any untoward effect to that eye.
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