The condition occurs in approximately 4% of the UK population. Some children are born with this condition (congenital squint), however in the majority of children, the condition presents after birth in early childhood. In the UK, the majority of childhood-onset squints exist without other medical conditions in children who are otherwise completely healthy.
Adults may acquire the condition; this is almost always accompanied by horizontal or vertical double vision. Disorders that cause eye misalignment are often not identifiable; however there is a higher prevalence of strabismus in adults who suffer from thyroid eye disease, myasthenia gravis, stroke or tumours.
Eye squint surgery can be carried out on both children and adult patients at our clinic. After an initial consultation and full eye assessment, the patient will be told which type of squint surgery is applicable to them. Squint surgery is considered to be a functional procedure if the brain is able to restore the use of both eyes working together.
In cases where one eye is switched off by the brain (suppression), there is no ability to make the 2 eyes function together. Our experienced team at Eye Clinic London can cosmetically enhance the appearance of the eye in such cases by making the deviated eye appear straight through cosmetic eye squint surgery.
This can help restore eye contact as well as confidence, making a difference to the every-day lives of the individuals who benefit from this procedure. Eye squint surgery must be carried out under general anaesthetic.
To determine best eye alignment, UK guidelines suggest the necessity in measuring the squint on 2 pre-operative visits (ensuring accuracy in measurement and squint stability) before a patient is listed for surgery. The muscles on one or both eyes may be adjusted accordingly.
The extra-ocular muscles are located around the eye ball (away from the visual pathway anatomy which an eye to function); therefore visual acuity is not usually implicated by this procedure. Post-operatively, patients may be given an eye shield to wear for 24 hours. Drops are instilled into the eye for 2 weeks, and a review of the eye is required at this stage. Patients who have received eye squint surgery should not swim or wear contact lenses for 2 weeks.