Can Strabismus Be Treated in Adults? Options for Correction Explained - Ophthalmology

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Strabismus


I have a friend who is 23 years old and has mild strabismus (it seems to be hereditary).
Is there a way to treat or correct it? Is it too late now? Thank you for your response!

Li, 20~29 year old female. Ask Date: 2001/07/09

Dr. Huang Bozhen reply Ophthalmology


Explanation: Since it is mild, it can be ignored; however, if correction is desired, surgery will be necessary.

Reply Date: 2001/07/09

More Info


Strabismus, commonly known as crossed eyes or squint, is a condition where the eyes do not properly align with each other when looking at an object. While it is often diagnosed and treated in childhood, adults can also seek treatment for strabismus, and there are several options available for correction.


Treatment Options for Adults with Strabismus
1. Eyeglasses or Contact Lenses: In some cases, corrective lenses can help improve vision and alignment. If the strabismus is related to a refractive error (like nearsightedness or farsightedness), wearing glasses or contact lenses might be sufficient to correct the misalignment.

2. Prism Lenses: These special lenses can be incorporated into glasses to help align the images seen by each eye. Prism lenses work by bending light before it enters the eye, which can help reduce double vision and improve alignment.

3. Vision Therapy: This is a structured program of visual activities designed to improve coordination and focusing abilities. Vision therapy can be beneficial for adults with strabismus, especially if the condition is associated with issues like convergence insufficiency or other binocular vision problems. This therapy is typically supervised by an optometrist or ophthalmologist.

4. Botulinum Toxin Injections: In some cases, injections of botulinum toxin (Botox) can be used to temporarily weaken the muscles that are causing the misalignment. This can help improve the alignment of the eyes and may be used as a temporary measure or as part of a comprehensive treatment plan.

5. Surgery: For adults with significant strabismus that does not respond to other treatments, surgical options may be considered. Strabismus surgery involves adjusting the muscles around the eye to improve alignment. This procedure can be performed on one or both eyes, depending on the specific needs of the patient. Surgery is often successful in improving both the cosmetic appearance and the functional alignment of the eyes.


Is It Too Late for Treatment?
It is important to note that while strabismus is often treated in childhood, it is not too late for adults to seek treatment. Many adults successfully undergo treatment and experience significant improvements in their condition. The effectiveness of treatment can depend on various factors, including the type and severity of strabismus, the presence of any underlying conditions, and the individual’s overall health.


Conclusion
If your friend is experiencing strabismus, it is advisable for them to consult with an eye care professional, such as an ophthalmologist or optometrist, who specializes in strabismus. The eye care professional can conduct a thorough examination, determine the best treatment options based on the specific type of strabismus, and discuss the potential outcomes. Early intervention can lead to better results, but adults can still achieve significant improvements in their condition regardless of when they seek treatment.

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