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Decryption of analyzes

Strabismus: how to return a direct look

Impaired vision always impairs the quality of life - in case of myopia or farsightedness, a person does not have the opportunity to clearly see the small text or far-away objects. Squint, in addition to such inconvenience, also brings psychological suffering to a person, since it manifests itself as an obvious defect.

Content

What is a squint

Squint, or strabismus, is a pathology in which one or two eyes deviate from the point of fixation. In a healthy person, when focusing on the eye, the movements of the eyes are coordinated and symmetrical, and the pictures that see different eyes fold into one three-dimensional image. This is called binocular vision.

With strabism, the interaction of the eyes is disturbed, the normal image is not obtained, there is often double vision in the eyes. As a result, amblyopia (lazy eye syndrome) develops, which arises due to the nervous system's compensatory shutdown of the mowing eye from the vision process, while the second, well seeing, is forced to take on the entire load. Strabism is manifested by a visible defect - one eye (or both) looks to the side (up, down).

Girl with a squint

Strabism is easy to see - one or both eyes are diverted from the visual axis

Types of pathology

Depending on how early the disease arose, the following types of disease are distinguished:

  • Congenital (infantile) squint. Diagnosed from birth or during the first six months of life. The cause of the disease is most often heredity, abnormal development of the eye muscles, and diseases suffered by the mother during the carrying of the child.
    Strabismus in baby

    Congenital strabismus can be diagnosed from the first days of a child's life

  • Acquired strabism. It is detected, as a rule, in 2–3 years. It develops due to disorders of the nervous system, infections, injuries, weakening of the visual function of one of the eyes.

Strabism happens:

  • transient or permanent;
  • monolateral (mows one eye) or alternating (both eyes).

There are also:

  • latent strabismus, or heterotrophy;
  • compensated, detected only during the examination;
  • subcompensated, that is, controllable by the patient;
  • decompensated, which does not depend on the efforts made by the patient to synchronize eye movements.

Based on the causes, pathology is divided into two large groups:

  • Strabismus paralytic associated with various injuries, vascular and neurological disorders. It can occur in both children and adults, with one eye, as a rule, that cannot move in the direction of the damaged muscle. There is a doubling and impaired synchronized vision.
  • Friendly, when both eyes suffer, and they are displaced to an equal distance. Eye movements in all directions are fully preserved, there is no diplopia, and binocular vision is impaired. It is diagnosed, as a rule, in young children, it is caused by progressive eye pathologies.

Friendly strabism, in turn, is of several types:

  • accommodative, arising due to severe visual impairment (myopia, astigmatism, long-sightedness) in babies of two to three years of age;
  • non-accommodative, which is usually detected in the first months after birth, it can be caused by corneal opacification, optic nerve atrophy, general diseases;
  • partially accommodative, which is diagnosed in children 1–2 years old and is characterized by impaired refraction of varying degrees, often caused by prenatal CNS damage.

Depending on the direction of eye mowing, these types of diseases are distinguished:

  • esotropia, or converging strabism, - the eye is slanted to the nose (it occurs most often);
  • exotropia - diverging strabism, while the eye is deflected to the side (15-20% of the incidence);
  • vertical strabismus, in which the eye is sloping upward (supravergiruyuschy) or downward (infravershiruyuschy)
Types of friendly strabismus

Squint can be manifested by beveling one or both eyes to the nose, to the temples, up or down

Video: the causes of strabismus in children and adults

Heterotropy is not only a visible defect, it is accompanied by a malfunction of all parts of the visual analyzer and causes a number of visual disorders. Squint becomes a psychological problem, affects self-esteem, negatively affects psychoemotional development, limits the choice of professional activity, worsens the quality of life.

With the right approach, strabism is amenable to correction in childhood, but in adults it is possible to cure the pathology. When this is achieved cosmetic effect. Binocular vision, unfortunately, in adulthood is almost impossible to return. The main method of getting rid of strabismus in adults is surgery.

Stages of treatment

Therapy of any form of the disease includes a complex of various activities. The main goal of treatment is the restoration of visual acuity and synchrony, symmetry of the position of the eyes.

Stages of eliminating heterotropy:

  • Pleoptica is prescribed for amblyopia and consists in stimulating the sore eye in order to restore its visual functions. Increasing the load on the squinting eye is achieved through occlusion (closing) of the healthy eye, stimulation with the help of devices, training programs, and ophthalmic massage.
  • Orthoptics - aimed at the development of binocular ability. Synoptic devices and computer programs are used to coordinate the work of the visual organs.
  • Diploptica - is used at the last stage for training volumetric binocular vision. To do this, use classes on the convergent trainer, exercises with prisms, lenses.

Video: how to treat strabism

Strabism correction methods

The ophthalmologist examines the patient and establishes an accurate diagnosis. Given the root cause and severity of the disease, the doctor prescribes treatment, which may consist either in the use of conservative methods, or in carrying out surgery. Treatment of paralytic strabism is carried out in conjunction with a neuropathologist who prescribes drugs to eliminate the pathology in the central nervous system.

Conservative methods

The treatment begins with an optical correction, prescription of drugs, then transferred to hardware techniques and special exercises.

Drug effects

Before prescribing glasses or contact lenses to a patient, the doctor performs atropinization - double instillation of 1% atropine solution into the eye for 5-7 days. Sometimes, in case of amblyopia, the patient is subjected to a penalization method, which consists in artificially weakening the eyesight of a normal eye in order to stimulate the mower to work actively. It is achieved by long-term (up to 4–6 months) atropinization — instillation of a 0.5% solution of atropine in a healthy eye, 1 drop in the morning every day for the first month, and then 1 time every 3–7 days.

Atropine Eye Drops

Atropine solution is used for diagnostic purposes, as well as for carrying out penalization - artificial weakening of the eyes of a healthy eye in order to stimulate mowing

In case of traumatic eye lesions, the drug Retinalamin is indicated. The tool is an immunomodulator, improves and regulates metabolic processes in the tissues of the eye, accelerates the regenerative processes in the retina, reduces inflammation, normalizes the vascular system of the eyes.

Retinalamin

Retinalamin is used to improve the nutrition of the eyes, normalize metabolic processes in their tissues, restore vascular tone

For heterotropy caused by disorders of the central nervous system, the patient is prescribed drugs to improve blood circulation and metabolic processes in the brain - Cortexin, Vinpocetine, Phenibut. These funds are prescribed by a neurologist.

Optical correction

After finding out the causes of deviation (wrong eye position), lenses or glasses are selected for a patient with any form of the disease. This is especially necessary when accommodative strabism, which is combined with long-sightedness, myopia, accommodation disturbances. Sometimes correctly selected glasses with this form of the disease completely restore synchronous vision.

Selection of lenses for child glasses

Optical correction - the first stage of complex treatment of strabismus

The basis of pleoptic therapy is occlusion - the elimination of a healthy organ from visual work, which stimulates the squinting eye to active functioning. For this purpose, apply plastic dense or translucent occluders that attach to the frame of glasses. As the visual acuity of the affected eye increases, the transparency of the occluder increases, which contributes to the fixation of binocular vision. The mode of application of occlusion is prescribed by the attending physician.

Sometimes for the same purpose (the inclusion of the visually impaired eye in the visual work) apply penalization. Penalization glasses reduce the visual acuity of a healthy eye by hypercorrection, as a result, the leading eye sees worse, and the weak one is put into operation, since the necessary lens is selected for it. This method has advantages over occlusion, because it remains possible to look with both eyes and does not develop a skill for monocular vision. Penalization is often used in three to five years old children, sometimes in combination with atropinization of a healthy eye.

Girl with occluder

Occlusion is the most important component of the pleoptic treatment aimed at improving the visual acuity of the squinting eye.

The use of special devices

Apparatus treatment is prescribed at different stages of therapy in order to stimulate the patient's eye in case of amblyopia (pleoptic) or to restore binocular ability (orthoptic).

Apply for stimulation devices:

  • Ambliokor - the device restoring visual acuity by means of computer training. At the heart of his work is the technology that allows him to develop the normal ability of the brain to restore a distorted image on the retina, while overcoming the habitual skill of suppressing vision of the mowing eye. Usually assigned at least 20 daily half-hour sessions.
    Lesson at Ambliocore

    Ambliokor - the device promoting stimulation of a visually impaired eye

  • Ambliotrener ART-1 - an apparatus for restoring proper monocular fixation, is prescribed for amblyopia. Combines visual irritation with tactile, sound and kinesthetic.
    Ambliotrener ART-1

    Ambliotrener ART-1 is used to treat amblyopia accompanying strabismus

  • Amblyopanorama is a device whose principle of operation is based on the “lazy eye” training method of fixation on various figures, while the retina is illuminated by a flash, after which the patient needs to find on the screen figures similar to the test. The procedure is carried out in a dark room with a closed healthy eye. Classes with the help of the device is prescribed for friendly strabismus, amblyopia.
    Occupations on the device Ambliopanorama

    Amblyopanorama contributes to improving the visual acuity of the mowing eye

  • Points Sidorenko - are made in two varieties:
    • Points Sidorenko-1 (vacuum), which improve metabolic processes and microcirculation in the tissues of the eye, tone up, restore nerve fibers;
    • Points Sidorenko-2, which are embedded LED emitters, providing color therapy, effective to eliminate amblyopia.
      Device Points Sidorenko-1

      Glasses Sidorenko - a unique device designed to stimulate the visually impaired eye with a vacuum massage

  • The Streamlet apparatus is used to train accommodation (the adaptive ability of the eye to clearly see objects located at different distances from it). Classes are prescribed to eliminate amblyopia. They consist in observation by the patient through a special prism of symbols, alternately illuminated and located at different distances.
    Apparatus Stream

    The Streamlet device was created to treat amblyopia and is used to stimulate the visually impaired eye during strabism.

There are also other methods of stimulating a squinting eye:

  • Electrocule stimulation. Appointed to eliminate amblyopia, with atrophy of the optic nerve, changes in the retina. The device has two electrodes that are fixed on the closed eye and on the wrist. Weak currents stimulate blood circulation and metabolic processes in the tissues of the eye, as well as improve conductivity in the optic nerve.
    A young man on electrooculation

    Electrocule stimulation is performed in order to normalize blood circulation and metabolic processes in amblyopia

  • Stimulation by laser. It is carried out by means of devices Falcon or MKDEL. During the procedure, the healthy eye closes, and the second looks into the lens of the device that delivers laser radiation. The effect of such treatment is anti-inflammatory, regenerative, absorbable, trophic (improves the nutrition of tissues).
    MACDEL Apparatus

    Laser stimulation is an effective treatment for amblyopia accompanying strabismus.

  • Photostimulation. It is prescribed for various degrees of amblyopia and consists in exposing the eye to multicolored flashes. Color signals are sent in a certain sequence, with different duration and frequency. The outbreaks stimulate different parts of the eye and enhance the neutron bonds in the brain - this is how the weakened eye is trained. Photostimulation is often prescribed in conjunction with magnetic stimulation.
    Devices AMO-ATOS and Amblio-1

    Photo-stimulation is often used in conjunction with magnetic stimulation to treat a lazy eye.

  • Magnetic stimulation. It is performed using various devices (for example, AMO-ATOS) and is prescribed for amblyopia, various vascular and nerve lesions. The magnetic field has anesthetic, regenerative, anti-inflammatory and anti-edema effect on the tissues of the human body.
    Magnetostimulation procedure

    Magnetic stimulation improves the functioning of the visually impaired eye during strabismus

  • Stimulation by ultrasound. An effective method, however, does not suit everyone, since it has many contraindications. It is based on the impact of sound waves that stimulate biochemical processes, accelerate metabolism, improve blood circulation and nutrition of the treated tissues.
    Device for ultrasound scanning and stimulation

    Ultrasonic stimulation is shown to accelerate metabolic processes in the tissues of the sore eye

Orthoptic treatment of strabism is necessary to restore the coordinated work of both eyes (binocular ability). Apparatus used for this:

  • Synopthophore - used with friendly strabismus. Using the device, orthoptic exercises are performed that help to eliminate the asymmetry of vision, develop the mobility of the eyeballs, improve fusional reserves, that is, the ability of the cerebral cortex to combine images from both retinas into one binocular image.
    Occupation on a synoptophore

    Synoptofor - apparatus used for the development of binocular vision in strabismus

  • Apparatus Mirage - used to train the synchronization of view. The patient's eyes are lit separately, then he is offered to “merge” two images into one.
    Mirage device

    Apparatus Mirage is designed to train binocular vision by the method of Kashchenko

At the last stage of therapy, diploptic methods are used with the use of devices for the development of volumetric binocular vision:

  • Forbis device - designed to restore the synchronization of vision by alternating loads and relaxation of the eye muscles. Exercises using the device combine the training of accommodation, stimulation of the visual apparatus by laser radiation and the restoration of fusion abilities. This treatment is often prescribed after surgery.
    Lesson at the Forbis Apparatus

    Forbis device is designed to train stereoscopic binocular vision.

  • The device Diploptic - designed for training binocular vision with friendly strabism.
    Diploptic

    Diploptic device is used for fixing binocular vision and expanding fusional reserves.

  • The Cascade device (convergent trainer + ambliotrener + accommodative adapter) combines several directions: stimulation of the eyes individually and both simultaneously (treatment of amblyopia), training of synchronous vision, correction of refractive errors.
    Cascade Apparatus

    The device Cascade is used to train refraction, binocular vision, stimulation of the amblyopic eye.

Eye exercises

Special eye exercises are recommended at different stages of treatment. The main goal of training is to develop the habit of fixing an object with both eyes, to combine different images from each other, obtained by a healthy and squinting eye, into a single whole.

For such occupations the method of glares is perfect. Training can be done at home.

  1. On two sheets of cardboard you need to cut a circle with stripes - horizontal and vertical.
  2. Exercise is carried out in a dark room. Cardboard should be leaned against the eyes, while the circles should coincide with the pupil. For a second, the desk lamp turns on the patient’s face and turns off immediately.
  3. A normally seeing person would see the glare in the form of a cross, with a squint you can only see stripes directed in different directions. The task is to straining the eye muscles, merge the two pictures into a single unit and see the cross.

Regular exercise teaches the eye muscles to be in the correct position and stimulate the development of synchronous vision.

Samples of drawings for conducting classes on the method of glare

The glare method is used to train binocular vision.

Diploptic "provocative" methods are used to develop fusional abilities and volumetric vision. For example, the method developed by Kashchenko and Avetisov implies the use of a prism, which is attached to one eye for 2 seconds at short intervals. The patient is located at a different distance from the test object, with or without glasses. The prism used causes ghosting of the image, which the patient must overcome (stimulate the fusion reflex). The power of the prism is gradually increased.

Another method that teaches synchronous vision is the method of dissociation. The essence of the method is to create a load on the eye with negative lenses, followed by relaxation with positive lenses. The patient learns to overcome the doubling of the image.

The diploptic method of color filters consists in the use of line-filters of different density. A patient is put in front of such a ruler and asked to fix a glowing test object located at a distance of 1-2 meters. The color filter provokes ghosting of the picture and the patient should try to combine the images into one. A gradual increase in the density of light filters trains the ability to synchronously merge visual images.

Accommodation training

As mentioned above, accommodation is the ability of the eyes to clearly see objects located at different distances. This function is provided by the normal operation of the ciliary, or ciliary, muscle located around the lens. If it is weakened, the vision will not be clear.

Ophthalmologists recommend special exercises to improve accommodation. They are especially needed for strabismus with amblyopia and hyperopia.

  1. The first exercise is to enhance accommodation. Held at the window. It is necessary to close a healthy eye with your hand, take a postcard or a calendar with medium-sized text and slowly move closer to the fixing eye, until the letters become double. After that, move the text back until it is well read again. Repeat the cycle - zoom in and push the text within 2-3 minutes. Then you need to take a minute break, during which it is recommended to look out the window at distant objects.
  2. The second exercise is aimed at improving accommodation stability. It is carried out in a similar way, and the text should be positioned at an optimal distance from the eyes, at which it will be easy to read. Look at the text for 2 minutes, do not change the distance from the eye. Затем надо сделать минутный перерыв, в течение которого рассматривать дальние предметы в окне, после этого цикл повторить.
  3. Упражнение для развития мобильности аккомодации нужно делать, повернувшись лицом к окну. Календарь держат так, чтобы виден был и горизонт. Текст необходимо рассматривать до 10 секунд, затем столько же смотреть вдаль, на горизонт, стараясь чётко рассмотреть дальние объекты.

Каждое занятие нужно проводить 2–3 раза в день от 3 до 5 минут для каждого глаза.

Занятия по методу Бейтса

Метод был разработан около ста лет назад и многие люди смогли избавиться от амблиопии благодаря таким простым упражнениям:

  1. Пальминг для расслабления глазных мышц. Нужно повторять несколько раз днём и перед сном в течение 3–5 минут. Потереть ладони друг о друга (согреть) и приложить к глазам, чтобы не было щелей. Глаза нужно полностью расслабить и представить глубокий чёрный цвет.
    Пальминг

    Пальминг способствует полному расслаблению глазодвигательных мышц и подготавливает орган зрения к эффективной работе

  2. Воспоминания. С закрытыми глазами нужно попытаться вспомнить что-то приятное — любимые объекты, счастливые события. Это упражнение хорошо расслабляет мимические и глазные мышцы.
  3. Повороты. Глаза, закрытые ладонями, нужно несколько раз зажмурить и расслабить. Затем руки убираются, но глаза не открываются. Несколько раз сделать быстрые повороты головой в разные стороны, движения вверх-вниз, затем глубокий вдох-выдох и, открыв глаза, быстро поморгать. Это упражнение помогает насытить кислородом сетчатку.
  4. Соляризация. Можно проводить при солнечном свете или с помощью свечи. Необходимо встать у окна и поворачивать голову (глаза не меняют зрительную ось), при этом окно должно находиться то справа, то слева. Со свечой можно проделывать то же самое, при этом расположить её нужно на расстоянии 2 метров от себя.

Видео: упражнения по методу Бейтса

Стереограммы

Методика с использованием стереограмм особенно нравится детям. Специальные изображения складываются в объёмные картины при синхронизированном зрении. Упражнения со стереограммами направлены на активацию фузионной способности, тренировку глазных мышц и восстановление стереоскопического бинокулярного зрения.

Стереограмма

Стереограмма — изображение, которое становится объёмным при определённой фокусировке зрения на нём

Применение компьютерных программ

Programs and games can be used at home for the treatment of strabismus only on the recommendation of the attending physician, otherwise they may do more harm than good. The method is used for stimulation with a lazy eye, to restore volumetric binocular vision and fusion ability.

The “Contour” and “eUe” programs are based on the separation of visual fields and are used for training in complex diploptic treatment. Impact on the visually impaired eye occurs through dynamic multi-colored stimuli of different shapes, brightness and content. In the games “Crosses”, “Tire”, “Flower”, “Chase”, “Spider” the coordinated work of both eyes develops.

The program "Blade" is used to diagnose and correct strabismus in patients from 4 years. A special “flashing” mode trains the eye muscles and allows you to develop synchronous vision. It is based on the same principle as when using the synoptophor.

Video: computer game for the treatment of strabismus and amblyopia

Osteopath treatment

Post-traumatic strabismus successfully treat osteopaths. The manual techniques applied by the specialist correct the received violations (including after birth trauma), and normal vision is restored. The method of manual therapy is effective at an early age, when the bones of the baby have not yet fully formed and the skull is malleable.

Micropolarization

The transcranial micropolarization method (TCMP) is effective due to the directional effect of a constant small current on the cortical and subcortical structures of the brain. Such an effect modulates the neurodynamic processes in different parts of the nervous system, promotes the formation and strengthening of new neural connections in the brain. Micropolarization is effective in strabismus, the cause of which are pathological processes in the central nervous system.

Micropolarization child

The method of micropolarization provides for a local effect on certain areas of the brain, because of which the electrodes can be attached where pulse stimulation is necessary.

Hot fix for strabism

Surgical intervention is used if the effect of drug and apparatus therapy is not present within 1–1.5 years from the start of treatment. The optimal age for the operation is 3-4 years, when the baby has already formed the ability to binocular vision.

Indications for intervention:

  • patient's desire to get rid of an external defect;
  • the ineffectiveness of conservative treatment;
  • a high degree of strabismus, while the attending physician believes that surgical correction is the most appropriate method of correcting the deficiency.

Operations are of two types:

  • to loosen overly stressed oculomotor muscles:
    • recession (dissection and muscle movement);
    • myotomy (removal of some muscle fibers);
    • muscle lengthening;
  • to strengthen weakened muscles:
    • resection (shortening of the muscle by excision of its site with subsequent fixation);
    • tenoraffia (formation of folds in the area of ​​the muscle tendon);
    • anteposition (changing the place of fixation of the muscle).
Scheme for oculomotor muscle resection

Surgical correction of strabismus is the shortening or lengthening of the eye muscles.

In some cases, a combination of surgical techniques. In adults, the procedure is performed under local anesthesia, in children the use of general anesthesia is justified. After the operation, a sterile dressing is applied to the eye, which is usually removed on the second day. Adult patients do not need hospitalization; children remain in the hospital under medical supervision.

Human gaze before and after squint correction surgery

Surgical correction of strabismus provides a high cosmetic effect at any age.

The recovery period lasts from 1 to 4 weeks, in children it is shorter. Repeated intervention in relapse is possible not earlier than 6–8 months after surgery.

Possible complications:

  • hypercorrection - it can happen because of an error in the calculations, in this case there is an excessive lengthening or shortening of the oculomotor muscle and the operated eye is cut in the direction opposite to that before the operation; as a prevention impose adjustable seams;
  • rough scars on the muscle, depriving it of mobility;
  • damage to the vagus nerve, which is responsible for the work of the heart muscle, lungs, digestive organs (very rarely);
  • infection, bleeding, loss of vision (extremely rare possible complications).

The success of surgical correction of heterotropy is about 80–95%.

After the intervention, a course of therapy is required, aimed at fixing the symmetrical arrangement of the eyeballs, developing binocular volumetric vision, and improving accommodation. Squint is considered cured if it is possible to achieve the correct position of the eyes, resistant binocular vision, a significant increase in the visual abilities of the affected eye.

Reviews of treatment of strabismus

When I was 8 years old, I had an operation on each eye - if only one eye was fixed, then the second one would inevitably mow. Now 12 years later, there are no problems. Usually strabismus is accompanied by myopia. I had myopia up to 8 years old, now I’m 20, my vision has fallen to minus 5. But this has nothing to do with operations from strabismus - without them I would be blind. I do not understand those who even with a weak degree of strabismus. Now there is such a high-precision equipment, with the help of which the surgeon will make a jewelry incision, in my time there was no such thing, the surgeon with golden hands, it can be said, operated on all the artisanal methods.

Yi

http://www.woman.ru/beauty/medley2/thread/4169909/

My daughter is 3 years and 3 months old. We treat strabismus from 1.9 (we have the effects of a birth trauma - we pumped out kefaloghematoma), before no one could identify strabismus, only after I found a good doctor and brought my daughter to the examination, because she became she herself suspected that the eye floats. In an ordinary clinic, strabismus could not be detected, although it was already noticeable that the eye periodically went to the bridge of the nose, and we were told that it would outgrow, wait, do not do anything. Because of this, we started treatment six months later, but the operation cannot be avoided, I have not yet decided how to be, I want to cure the baby. We treat this way: we occlude the eye (we have unilateral strabismus), we go to eye garden, every day we get treatment, but it cannot be completely cured without surgery, they said the operation gives 100% recovery, and I found out that not always.

Kuzkina

http://www.uaua.info/mamforum_arch/theme/102403.html

I have congenital strabismus in my right eye, very strong (to the nose). Binocular vision is not, etc. In my childhood I went to specials. garden Occluders, classes in the physical office. In the first class with glasses. In school, thanks to my mother, made me go to nat. office in a children's hospital. By age 13, squint disappeared. The eye was tired, the doctors said glasses to wear constantly. But as you understand at the age of 14 wearing glasses at school is a stress for a teenager. I took off, wore an occluder at home without glasses for 2 hours (I trained my eye muscle) Doctors in one voice tell me that this can not be, according to your indicators, you can not see anything at all. Now I am 26 years old, before giving birth at the medical board, the ophthalmologist is in shock, as I see everything ... I am spreading my arms 🙂 Now I am very glad that I did not do any surgery, although I suggested that my mother give her daughter for microsurgery. I write this to the fact that not always an operation is the right way out, the human factor ... science is still evolving and developing. I consider the operation to be done as a last resort, it is never too late to do.

Darika

https://www.u-mama.ru/forum/kids/child-health/377033/index.html#mid_9529958

We performed the operation in mid-December, the son was 11.5 years old at that time, the conservative treatment did not give an effect, but we had convergent squint and myopia, that is, the glasses still strengthened us, so it was decided to operate on us. The operation was scheduled for Monday, arrived by 16 o'clock on Sunday, paid only the ward (the operation itself was paid for at the time of surgery, and that was on Friday), settled in and went for a walk. In the evening, there are no restrictions on food, so in general you can come, throw things and go home or walk, the main thing is to return before 23 o'clock, then everything closes. In the morning we were called for an operation, talked to an anesthesiologist, the child was dressed, taken away, I was told to walk for 40 minutes, there was a cafe next to the operblock, so I waited there. Then the doctor came out, said that the operation was over, his son was taken out of anesthesia and I could take him away, the trolley with his son was taken out in 10-15 minutes, he was still sleepy and grumbled something. They took him upstairs to the ward, and there he probably slept for another hour and a half, only asked to drink occasionally, gave a little. Two hours later, he came to his senses, although he was a bit sleepy until about the middle of the day. The eye was sealed, in the evening it was watched and drops were dropped, in the morning of the next day the doctor watched us, who operated and let us go home. Hospital and certificates for the school give for 2 weeks usually, if there is a need, then the doctor-optometrist in the clinic extends, you will need to seem to him within a week after the operation. We did not go to school for a total of a month. And one more month after the surgery, you will need to undergo a course of treatment, we underwent it in our children's microsurgery. The stitches usually dissolve themselves, but one of us didn’t resolve, and we again went to Microsurgery and our doctor removed this thread and at the same time looked at the eye, said that we would most likely manage one operation, and not two, as often happens.

Inka

http://eka-mama.ru/forum/part44/topic324457/message24402475/

In principle, the operation to eliminate strabismus is considered the easiest in the Filatov clinic, i.e. everything happens in 24 hours, provided that you arrive in the morning with the child on an empty stomach and with all the results of the tests on your hands. The baby is operated somewhere for dinner, after the operation, after 20 minutes (although the doctor said that less time passes, but it seemed to me that it took an entire eternity while my daughter was brought back) you are taking out a sleeping child from the operating room, somewhere By the evening, the child wakes up and must be in a bandage until the morning, but during the first operation the daughter was 1.5 years old, the doctor said that you can immediately take it off, so I can't say with accuracy about the bandage, and next time we went with a bandage until in the morning. In the morning, more precisely, closer to dinner, you are examined by a doctor, if there are no complications after surgery, then they are discharged.

Alias

http://www.komarovskiy.net/forum/viewtopic.php?t=242&start=90

It is impossible to get rid of strabismus very quickly. The medical process requires a lot of patience and the right psychological attitude. Early treatment and the strict implementation of medical recommendations is the key to the success of the therapy.

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