Strabismus: How Long Will Treatment Take? - Ophthalmology

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Strabismus


At my age, how long will it take to achieve proper alignment? I'm really worried that I'm still misaligned and I feel like my condition has worsened (I have esotropia).
I can see a slight improvement when looking to the right and left, but there is still some asymmetry.
One eye shows a little bit of the white part, while the other one does not.
Am I just wasting my time?

??, 20~29 year old female. Ask Date: 2014/02/18

Dr. Zhuang Yamin reply Ophthalmology


Hello: Due to my limited understanding of your previous condition (the type of strabismus and the angle of deviation), I am unable to provide an accurate estimate or appropriate response.
Although you mentioned that returning to your original medical facility for a follow-up requires a long journey, considering your concerns and the critical adjustment period for the adjustable surgical technique, I still recommend that you visit your original hospital.
I believe it will be more helpful in addressing your questions.
Wishing you a speedy recovery.
Changhua Hospital cares about you.

Reply Date: 2014/02/18

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. This misalignment can lead to various issues, including double vision, depth perception problems, and in some cases, amblyopia (lazy eye). The treatment duration for strabismus can vary significantly based on several factors, including the type and severity of the condition, the age of the patient, and the chosen treatment method.

In your case, since you mentioned that you are experiencing an inward squint (esotropia), it is essential to understand that treatment can take time and may require a combination of approaches. The primary treatment options for strabismus include:
1. Glasses: Prescription glasses can help correct refractive errors that may contribute to strabismus. In some cases, glasses alone can improve alignment.

2. Vision Therapy: This is a structured program of eye exercises designed to improve coordination and focusing abilities. Vision therapy can be particularly effective for children but may also benefit adults. The duration of therapy can range from a few months to over a year, depending on individual progress.

3. Prism Lenses: These special lenses can be incorporated into glasses to help align the images seen by each eye, reducing double vision and improving comfort.

4. Surgery: In cases where non-surgical treatments are insufficient, surgical intervention may be necessary to realign the eye muscles. The recovery and adjustment period after surgery can also vary, but many patients notice improvements relatively quickly.

Regarding your concern about the duration of treatment, it is crucial to have realistic expectations. While some individuals may see improvements within weeks or months, others may require a more extended period, especially if they are undergoing vision therapy or if surgery is involved. It is not uncommon for patients to feel discouraged if they do not see immediate results, but consistent treatment and follow-up with an eye care professional are vital.

You mentioned that you feel your condition has worsened and that there is still some asymmetry in your eye alignment. This could be due to several factors, including the need for a more tailored treatment plan or adjustments in your current regimen. It is essential to communicate these concerns with your eye care specialist, who can assess your situation and make necessary recommendations.

In terms of your worry about having "wasted time," it is important to remember that treatment for strabismus is often a gradual process. Progress may not always be linear, and setbacks can occur. However, with persistence and the right approach, many individuals achieve significant improvements in their eye alignment and overall visual function.

In conclusion, the duration of treatment for strabismus varies widely among individuals. Factors such as age, severity of the condition, and treatment type all play a role. Regular follow-ups with your eye care provider are essential to monitor progress and make any necessary adjustments to your treatment plan. With dedication and the right support, there is a good chance that you can achieve better alignment and visual comfort over time.

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