Squint / Strabismus2020-06-08T04:56:34+00:00

Squint / strabismus treatment for children

HELPING TO ALIGN THEIR EYES
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What is a squint / strabismus?

IN THIS VIDEO I PROVIDE A BRIEF EXPLANATION

Everything you need to know about squint / strabismus in children

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Squint, otherwise known as strabismus, is a misalignment of the eyes.

This condition occurs in approximately 4% of the UK population. It can affect people at any age, but it is commonly found in children.

One or both eyes may turn inwards (crossed-eyes), outward, turn up or turn down.

This type of strabismus may be normal. However, it is advisable to have your child’s eyes checked at Eye Clinic London, especially if the eye is drifting outwards.

Before the age of 6 months, a child’s ability to fix is not established, and so it might be common to see some form of strabismus.

Strabismus usually occurs when the muscles that control the movement of the eye and the eyelid are not working together. As a result, both eyes are unable to look at the same spot at the same time.

It can also occur because of a brain disorder which means that the eyes are unable to coordinate correctly.

Strabismus also makes binocular vision impossible, so it is harder for the child to perceive depth.

Some children are born with this condition (congenital squint); however, in the majority of children, the condition presents after birth in early childhood.

An uncorrected refractive error, particularly hyperopia, can result in strabismus or cross-eyes.

We must diagnose strabismus as early as possible to avoid the impairment of visual development of the affected eye. If the impairment goes undiagnosed the age of 7–8 years, it can be more difficult to treat.

We will perform a thorough examination to identify the following features:

  • Misalignment of eyes
  • Full range of eye movements
  • Abnormal head posture
  • How the eyes move during a cover test
  • A full refraction to assess the power of the eye

After an initial consultation and full eye assessment, we will tell you which type of treatment is applicable.

The first step in addressing a squint is to provide a glasses prescription that will enable the eye to develop correctly and straighten.

If this doesn’t work, the other option is surgery to realign the eyes.

Squint surgery is considered to be a functional procedure if the brain can 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 two eyes function together. However, we can cosmetically enhance the appearance of the eye by making the deviated eye appear straight with cosmetic eye squint surgery. This can help restore eye contact as well as confidence.

Eye squint surgery must be carried out under general anaesthetic.

To determine the best eye alignment, we measure the squint on two pre-operative visits. The muscles on one or both eyes may be adjusted accordingly.

Post-operatively, you may be given an eye shield to wear for 24 hours. We instil drops into the eye for two weeks and review the eye at this stage. After eye squint surgery, you should not swim or wear contact lenses for two weeks.

Samer Hamada and Eye Clinic London enable Londoners to experience relief from their eye problems so they can focus on what matters most.

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How my eye care services work

FOCUS ON WHAT MATTERS MOST IN 3 EASY STEPS

STEP 1: CONTACT US

Give us a call or click the button below to book your child in for a consultation. Or, contact one of our helpful and knowledgeable staff to get answers to your questions.

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STEP 2: LET’S MEET

Bring your child down to our clinic in London’s Harley Street district and we’ll conduct a thorough examination and consultation to see how we can help.

STEP 3: FOCUS ON WHAT MATTERS

Have the confidence of knowing that a caring eye care professional is managing your child’s eye condition so they can get back to normal life.

Happy patients from London and East Grinstead

WHAT MY PATIENTS LOVE ABOUT OUR SERVICE

Annabel Giles

“As soon as I met Mr Hamada, I knew I was in safe hands. He is an expert in his field, and very reassuring. His work was impeccable, and I would thoroughly recommend him to anyone wanting a professional, kindly, expert service.”

Tareq Kasshout

“I came all the way from the US to be evaluated by Mr. Samer Hamada who provided me with a world class experience. I was treated with technology that doesn’t exist in the United States. My vision improved significantly since the surgery. Mr. Samer Hamada is definitely a Keratoconus expert.”

Timothy Thompson

“Mr Hamada’s Eye Clinic London and his team are a delight. Nothing was too much trouble and the help, support, advice and guidance before during and after the surgery was all world class. I have worn glasses since the age of 13 years and had the onset of cataracts for the last five so it has all been very much a life changing experience to be free from glasses once more.”

Read More Testimonials

Book a consultation to see how to best tackle your child’s eye condition. Call us or book a consultation online today

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Even more information about vision correction for children

VIDEO AND BLOG POSTS ABOUT CHILDREN’S EYE CONDITIONS AND TREATMENTS
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Affiliations and memberships

I AM PROUD TO BE ASSOCIATED WITH THE FOLLOWING ORGANISATIONS

What my patients love about my service

MY PATIENTS ARE MY BEST PROMOTERS
“As soon as I met Mr Hamada, I knew I was in safe hands. He is an expert in his field, and very reassuring. His work was impeccable, and I would thoroughly recommend him to anyone wanting a professional, kindly, expert service.”
Annabel Giles, Lens replacement
“I came all the way from the US to be evaluated by Mr. Samer Hamada who provided me with a world-class experience. I was treated with technology that doesn’t exist in the United States. My vision improved significantly since the surgery. Mr. Samer Hamada is definitely a Keratoconus expert.”
Tareq Kass Hout, Keratoconus
“I am glad to be with Mr Hamada. I am glad to be examined by Mr Hamada who acts responsibly and professionally. I never had this experience before from a previous ophthalmologist. I am thankful to Mr Hamada for the successful diagnosis and treatment of my case.”
Ghiath Sumainah
“What a Consultant. Dr. Hamada is a man who was born for this profession. As soon as we walked into the room you felt that you had met a man who was gentle and kind. His demeanour was of a man who knew his trade. He speaks in a way that you will understand. He explains exactly what is wrong and the way he will help fix it for you.”
Sam Brock
“My eyes got really sore, tired and gritty feeling this year. It kept getting worse for about 6 months and every time I thought about it, I kept thinking it would eventually go away, but it just didn’t budge. So I want to say a big thank you to eye doctor Mr Samer Hamada who finally sorted me out! Apart from the eye tests I expected, he also took a really personal approach. I appreciate that he asked questions about my whole diet and lifestyle which helped him to quickly figure out why my eye surface was inflamed. I now have simple steps I can take to reduce the inflammation through diet and lifestyle changes which I’ve now been doing for 2 weeks. I also have been using the special non-preservative eye drops and gels that Mr Hamada provided. My eyes are already feeling so much better and I’m so relieved to have had help to sort this out. If you’ve been noticing your eyes getting dry – don’t wait to sort it out as it keeps getting continually worse and you can find relief very quickly with the right help.”
Laura Livesey, Dry eye
“Mr Hamada’s London Eye Care and his team are a delight. Nothing was too much trouble and the help, support, advice and guidance before during and after the surgery was all world class. I have worn glasses since the age of 13 years and had the onset of cataracts for the last five so it has all been very much a life changing experience to be free from glasses once more.”
Timothy Thompson
“We saw Mr Hamada after our 14-year-old son was diagnosed with keratoconus by another specialist. Mr Hamada talked us through the pros and cons of the cxl epi off and epi on procedures, he answered all our many and detailed questions without rushing us and as openly and honestly as possible. We opted to go ahead with cxl epi off with Mr Hamada. Our experience with Mr Hamada and his team, from his incredibly informative and supportive Secretary Joanna, nurse Mimi and Mr Hamada himself who was incredibly reassuring and put us and our son at ease both before, during and after the procedure, and at each follow-on appointment, has been the best possible. I would go so far as to say that he and his team are by far the best medical team I have ever experienced. I recommend him highly and would be happy to speak to anyone considering an expert in this field.”
Lisa & George, Keratoconus
“I would not hesitate to recommend Dr Hamada and his team. From the first call to inquire about booking an appointment to booking it, I was so impressed with his wonderful secretary Joanna- she really is worth her weight in gold, her lovely manner and care made me decide to go for this clinic. Dr Hamada was a lovely man with a very kind and thorougher way about him – he put my 4-year-old daughter at ease. The appointment was lengthy but at no point were we rushed and able to ask as many questions- things were explained so well. I would have no hesitation at all to recommend anyone to use Dr Hamada and his team- I have already recommended to some other parents.”
Amy
“Mr Hamada, his assistant Joanna and his ophthalmic technicians provide a caring, efficient and high quality service. From the admin through to the surgical aftercare we were very well looked after and we had a high degree of confidence in Mr Hamada’s abilities. Our daughter’s cataracts have been corrected (under general anaesthetic) and her quality of life has improved substantially. You also feel well cared for throughout – the human touch is vital in healthcare, but not always delivered, so well done and thanks to all of the team.”
Nat & Rich
“We were referred to Dr.Hamada by one of the UK experts. The expert himself admitted that Dr.Hamada was better than him!! We were not disappointed at all. Dr. Hamada was excellent with my child. His communication skills and knowledge were exemplary. He gave us clear management plan and would not hesitate to recommend him.”
V Nama
“Dr Hamada is an excellent, highly competent doctor with a very kind and sympathetic manner. His reputation for successfully treating dry eye patients seems unparalleled. His team are all extremely friendly and helpful, especially Dr Hamada’s PA Joanna, making the overall experience better than anywhere else I’ve been!”
Isla Cully, Dry eye
“Appointment setting and follow-up were very efficient and well managed. Mr Hamada was kind, reassuring, knowledgeable and had a very warm manner with my young son, making him instantly feel at ease. I feel that we can trust him and that he will finally be able to solve my son’s long-term eye problems that have stumped other eye doctors.”
Kathryn
“A real care provider – true in letter and spirit. After having seen few other consultants we were lucky to see Mr. Hamada. He treated my mother’s eyes and the prolonged inflammation finally went away. My mother went on to receive a corneal graft. Mr. Hamada and his clinic are simply wonderful. Their response is immediate every time even if it’s the weekend. Mr. Hamada puts a lot of personal attention answering every question very patiently and alleviating any fears. His manner is so kind that puts his patients completely at ease. This caring trait continues in the rest of his staff especially his assistant Joanna. I really can’t thank them enough. I thoroughly recommend anyone with eye problems to go to Mr. Hamada. You couldn’t be in better hands. He has treated my mother who is a long sufferer of eye problems. I am grateful always to Mr. Hamada and Joanna for all the support they have provided throughout.”
Charmaine Ghafur

We have replaced some of the images of real patients who provided these testimonials to protect their privacy.

About the expert

Mr Samer Hamada | Consultant Ophthalmologist and Corneal Surgeon

MD, MSc, DO (hons), FRCSEd, FRCOphth I am Samer Hamada, founder and consultant ophthalmic surgeon with over 20 years’ experience in ophthalmology. I am a world-renowned specialist in cornea, cataract and refractive surgery. I’m not only a leading surgeon but also the only dual fellowship trained in corneal diseases in children from reputable institutions in the UK. At Eye Clinic London I work closely with other consultant ophthalmologists, optometrists and orthoptists to achieve the best outcomes for our patients. Our main aim is to make sure our patients get the safest and best treatments available to them. We put your safety before anything else so you can rest assured that if you choose us you will be in the best and safest hands.

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