Strabismus and Vision Correction Options - Ophthalmology

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Hello, Doctor: I have a slight strabismus in my left eye.
What methods are available to help restore it to its original state? I have been wearing glasses for twelve years, but my vision has not improved; in fact, it seems to be getting worse the more I wear them.
Recently, I have been reluctant to wear glasses.
If I stop wearing them, will my vision improve? I have congenital astigmatism, with a vision of about 500 to 600 degrees and astigmatism of about 700 to 800 degrees.
Am I a candidate for laser surgery for my myopia? Are there specific requirements regarding the degree of astigmatism for this surgery? Is there an age limit? Am I suitable for contact lenses? How often should I have my eyes examined? Thank you for taking the time to answer my questions.
Thank you.

Yue Er, 20~29 year old female. Ask Date: 2008/10/08

Dr. Zhang Yanrui reply Ophthalmology


There may be some misunderstanding in your description; it is unlikely for someone to have a vision of 500 to 600 degrees, and individuals with astigmatism of 700 to 800 degrees could be at risk of blindness.
Therefore, your prescription should not be as you stated.
I recommend that you go directly to a clinic that performs laser surgery for an examination.
There are many tests that need to be conducted to determine if you are a suitable candidate for the surgery, and it is not possible to provide you with a definitive answer here.

Reply Date: 2008/10/08

More Info


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 lead to various visual problems, including double vision, depth perception issues, and amblyopia (lazy eye). Understanding strabismus and the available vision correction options is essential for managing this condition effectively.

In your case, since you mentioned having a slight strabismus in your left eye and a history of wearing glasses for twelve years without improvement, it's important to evaluate the underlying causes of your vision issues. Strabismus can be caused by muscle imbalances, neurological conditions, or refractive errors. The fact that your vision has not improved with glasses suggests that your current prescription may not be adequately addressing your visual needs, or that other factors, such as the strabismus itself, are at play.

Regarding your question about whether not wearing glasses might improve your condition, it's generally not advisable to stop wearing corrective lenses if you have significant refractive errors like myopia (nearsightedness) and astigmatism. While some individuals may feel that their vision is better without glasses, this can lead to increased eye strain, headaches, and further deterioration of vision over time. Glasses help to focus light correctly onto the retina, which is crucial for clear vision.

As for laser eye surgery, such as LASIK or PRK, there are specific criteria that must be met. Generally, candidates for laser surgery should have a stable prescription for at least one year, and the degree of refractive error must fall within certain limits. For myopia, the typical range is up to -12.00 diopters, and for astigmatism, it is usually up to -6.00 diopters, although these limits can vary based on the technology used and the surgeon's discretion. Additionally, there are age restrictions; most clinics require patients to be at least 18 years old, as vision can continue to change in younger individuals.

Regarding contact lenses, they can be a suitable option for many people with strabismus and refractive errors. However, the suitability of contact lenses depends on various factors, including your eye health, the degree of your astigmatism, and your ability to handle and care for the lenses properly. It's essential to have a thorough eye examination to determine the best type of lenses for your needs.

Regular eye examinations are crucial, especially given your history of strabismus and refractive errors. It's generally recommended to have an eye exam at least once a year, or more frequently if you notice changes in your vision or if your eye care professional advises it. This allows for timely adjustments to your prescription and monitoring of your eye health.

In summary, managing strabismus and associated vision problems requires a comprehensive approach. It is advisable to consult with an eye care professional who specializes in strabismus for a thorough evaluation and to discuss the best treatment options tailored to your specific needs. This may include corrective lenses, vision therapy, or surgical options, depending on the severity of your condition and your overall eye health.

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