If both eyes do not
point in the same direction, you're probably squint. Inward-turning
eyes, called a convergent squint or "cross eyes", usually
occur in young children. A divergent squint, when the eyes turn
outwards is less common. Although not necessarily painful, a squint
can be a distressing condition. Many adults are concerned about
their cosmetic appearance, and nearly four in every 100 adults suffer
from some form of squint. They may wish to correct this from a cosmetic
angle, but there is also the physical disability that often accompanies
this condition; loss of eye-hand coordination; bumping into things
when ascending, or descending stairs or kerbs; crossing the street,
driving, and playing sports.
Many adults who suffer from squint
problems are not aware that help is at hand. The
good news is that adults need not suffer. Recently there has been
an increase in effective, available treatment.
The principal
treatments used are Botulinum Toxin
and/or eye muscle surgery. Botox has become 'the
injection du jour' as more and more people follow in the footsteps
of celebrities to smooth out their wrinkles. However, few people
realize that the medical use of Botox was originally for the treatment
of eyes that were squint. Today, a simple injection can rectify
many unsightly turns of the eyes. This is an outpatient procedure
that requires only a few drops of anaesthesia, and takes about 30
seconds. "Botox treatment has made a real difference for many
patients. Not only does it help to realign the eyes, it can increase
confidence and social skills. It's not just a cosmetic thing, it
can affect your job prospects," says Mr Christopher Bentley,
a consultant ophthalmologist.
But
is Botox safe? According
to the surgeons who carry out these 'squint' treatments, Botox has
become the treatment of choice for muscular spasms affecting the face;
and repeated studies have demonstrated that it is effective and safe.
The target muscle is injected with a very fine needle. Benefits begin
in one to 14 days after the treatment, and can last on average about
three to four months, after which you can go for a top up. All effects
of the toxin ultimately reverse with time. A range of studies have
confirmed the side effects
to be minor in the vast majority of applications, and they are definitely
dose related. The Botulinum Toxin administered in the case of squint
treatments is heavily diluted. Some of the reported side effects have
included flu-like symptoms, pain at the site of injection, headaches,
and muscle weakness, but these are usually mild and transient. In
addition, adjustable stitches are used for squint surgery in adults.
The operation is usually done under general anaesthesia and some stitches
are not permanently tied. If the squint is still present after surgery,
local anaesthetic drops are given and the stitches adjusted until
the eyes are in the correct position. "This is a relatively new
development and a really helpful tool to help the surgeon to fine
tune surgery," says Bentley.
The type and amount of surgery to perform for a particular squint
demands an accurate preoperative decision and necessitates meticulous
surgical planning and accurate prediction of surgical outcome. "The
surgical aims are realignment of the eye muscles where necessary to
achieve satisfactory function and appearance," says Bentley.
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The
information on our website is provided for educational purposes
only and is not meant to replace a professional consultation. The
condition of each patient is unique and needs to be evaluated properly
before any decision can be taken. |
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