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What is Paralytic squint?

Inability of the eye muscles to move the eye due to muscle paralysis.

 

Paralytic Squint Symptoms

  • Double vision which is compensated by the patient by closing the eyelid of the paralysed eye or by turning the head in order to position the eye better.
  • Vertigo/Giddiness
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Paralytic Squint Causes

  • Trauma

  • Diabetes

  • Hypertension

  • Stroke

  • Demyelinating disease

  • Brain tumours

Paralytic Squint Risk Factors

  • Old age

  • Metabolic disorders like Diabetes, Hypertension and elevated cholesterol levels

  • Hereditary-family history of Demyelinating diseases; Myasthenia

prevention

Paralytic Squint Prevention

  • Healthy lifestyle

  • Metabolic control

  • Periodic eye and general health evaluation

Paralytic Squint Signs

  • Strabismus/squint

  • Limitation of eye movement

  • Compensatory head posture

  • False orientation

 

Paralytic Squint Diagnosis

  • Assessment of vision in each eye 

  • Assessment of angle of squint for distance , near and side gazes using prism

  • Assessment of eye movements

  • Double vision charting using Hess chart

  • Visual field testing

  • Color vision testing

  • Assessment of muscle strength by special tests

  • Complete eye evaluation

 

Paralytic Squint Treatment

  • In the case of Paralytic Squint Treatment, upon diagnosis, surgical intervention is the preferred choice for doctors in almost all instances.

  • Prism glasses 

  • Botox injection

  • Eye muscle surgery to relieve double vision and improve eye movement

 

Paralytic Squint Complications

  • Intractable double vision especially in adults interfering with daily activities

  • Neck strain due to abnormal head posture

  • Persistent giddiness/dizziness

  • False orientation

In conclusion, the of Paralytic Squint Treatment and other Eye Treatment is tailored to the individual’s needs and the severity of the condition. Early intervention, a comprehensive assessment, and collaboration between eye care professionals play a vital role in ensuring successful outcomes and improved visual function.

Written by: Dr. Manjula Jayakumar – Sr. Consultant Ophthalmologist, TTK Road

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