Strabismus: Causes, Treatment Options, and Costs in Taichung - Ophthalmology

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Strabismus, commonly known as squint or crossed eyes, is a condition where the eyes do not properly align with each other when looking at an object. This misalignment can occur in various forms, such as esotropia (inward turning), exotropia (outward turning), hypertropia (upward turning), or hypotropia (downward turning). The condition can affect one eye or alternate between both eyes, as you described in your situation.

Causes of Strabismus
Strabismus can be caused by a variety of factors, including:
1. Muscle Imbalance: The eye muscles may not work together properly, leading to misalignment.

2. Refractive Errors: Conditions like myopia (nearsightedness), hyperopia (farsightedness), or astigmatism can contribute to strabismus.

3. Neurological Conditions: Issues with the brain or nerves that control eye movement can lead to strabismus.

4. Genetic Factors: A family history of strabismus can increase the likelihood of developing the condition.

5. Other Medical Conditions: Conditions such as cerebral palsy or Down syndrome can also be associated with strabismus.


Treatment Options
Treatment for strabismus depends on the underlying cause and the severity of the condition. Here are some common treatment options:
1. Glasses: If refractive errors are contributing to the strabismus, corrective lenses may help align the eyes and improve focus.

2. Prism Lenses: These special lenses can help reduce the amount of eye turn by bending light before it enters the eye.

3. Vision Therapy: This is a structured program of visual activities designed to improve coordination and focusing abilities of the eyes.

4. Botulinum Toxin Injections: In some cases, injections can temporarily weaken the muscles that are causing the misalignment.

5. Surgery: If other treatments are not effective, surgical options may be considered to adjust the length or position of the eye muscles.


Costs of Treatment
The cost of treating strabismus can vary widely based on the type of treatment and the healthcare facility. In Taichung, the costs may include:
- Eye Examination: Typically ranges from NT$1,000 to NT$3,000.

- Glasses: Depending on the prescription, costs can range from NT$1,500 to NT$10,000.

- Vision Therapy: This can be more expensive, often costing NT$1,000 to NT$3,000 per session, with multiple sessions required.

- Surgery: The cost for strabismus surgery can range from NT$30,000 to NT$100,000 or more, depending on the complexity of the case and the facility.


Where to Seek Treatment in Taichung
In Taichung, several hospitals and clinics specialize in ophthalmology and can provide services for strabismus. Some reputable institutions include:
1. Taichung Veterans General Hospital: Known for its comprehensive eye care services.

2. China Medical University Hospital: Offers specialized eye care and treatment options.

3. National Taiwan University Hospital Taichung Branch: Provides a range of ophthalmological services, including strabismus treatment.


Conclusion
If you are experiencing strabismus, it is essential to consult with an ophthalmologist or optometrist who can provide a thorough examination and discuss the best treatment options for your specific situation. Early intervention can significantly improve outcomes, especially if the condition is affecting your ability to focus and perform daily activities.