Wednesday, July 15, 2009

Baby before the age of three should be done with eye examinations


In order to ensure a healthy baby has a vision, even if no obvious abnormal eyes, my mother should be in the baby before 3 years old take him to the ophthalmologist, where the first eye examination done. In this way, it can be difficult to detect as early as possible those of strabismus and amblyopia found out the best treatment to avoid loss of time.


Normal eyes see things, whether the object is located at a distance, or the immediate vicinity of any location, the two eyes should be parallel and at the same time watching the same goal, the two eye position is positive. Instead, by only one eye watching to see what, in the eyes of the other eye but it is biased towards the next, then known as strabismus. New-born baby a few weeks due to a lack of attention to the capacity of eyes, strabismus can be temporary, but in general to 6 months will be well-developed, no longer have strabismus. Baby to the 5 ~ 6 years old, usually has mature vision.
Children are prone to strabismus?
1, the imperfect development: children, especially infants and young children the functional development of binocular single vision imperfections are not well co-ordinated extraocular muscles, any destabilizing factors can promote the occurrence of strabismus. Visual function of a single person is the gradual development of the day after tomorrow, the establishment of such a function and visual function was repeatedly accept the same material as the outside world a clear stimulation of growth and maturity gradually up. After birth, only two months into the whole image, as function of precision into the establishment to continue until after the 5-year-old, three-dimensional, as the establishment of the latest, 6 ~ 7 years old can be close to adults. So 5-year-old single vision before the eyes are not perfect, the children of the high rate of strabismus.
2, congenital anomaly: This multi-strabismic extraocular muscles from congenital dysplasia of the location, development of extraocular muscle itself abnormal mesodermal differentiation was incomplete, separation of adverse ocular muscle sheath fibrosis and other anatomical anomalies and defects or disposable muscles due to nerve palsy. Some as a result of the production process, the use of forceps facial injury caused by the baby or mother, the first production of excessive force have increased intracranial pressure caused by fetal brain bleeding point, and the bleeding just in disposable eye movement caused by the nucleus Department external ophthalmoplegia. In addition, there are genetic factors, strabismus eye is not hereditary in the family of all members, which is often indirect genetic defects to their children onto the next generation. General birth occurred within 6 months of congenital strabismus strabismus said, it does not have the material to establish the basic conditions for binocular vision, the development of visual function of the most damaging.
3, eye make children susceptible to developmental characteristics of strabismus: children's eye as a result of small, short axial length, for hyperopia, the cornea and the lens because children inflectional power, and strong ciliary muscle contraction, that is, strong regulation. Such a child would like to see the objects on the need for more regulation, and at the same time his eyes turn inward force also resulted in excessive influx will lead to esotropia, esotropia said that within the regulatory oblique.
4, eye movement lack of central control: If you set too much or lack of outreach or both have a presence on the inside ramp; contrary too outreach, inadequate collection or both of the case, it had a ramp outside.
The most common strabismus baby
Implicit strabismus
Implicit strabismus is a potential eye-bit skew, usually when the eyes see things, do not see eye position is not correct, only through a special examination to discover. However, your baby may be a considerable number of eye symptoms, as evidenced in strong light photophobia, like a room hung windows, change color to wear glasses, frequent headaches; close look at things, the rise of distant objects look blurred, Then, see the recent material is also the same; some baby fatigue in the eyes when the two objects as an object to be to alleviate fatigue disappeared after such a situation; the baby still time to see things a long time, others will find there squint his eyes, but with the time to see things disappear and strabismus; as a result of nervous reflex may have nausea, vomiting, conjunctival hyperemia, Stye, insomnia and other symptoms.
Accommodative esotropia
Esotropia is due to high hyperopia formed through strabismus, is also the only available corrective glasses and can achieve the cure of strabismus. Often around the age of onset in the 2, but started to sometimes, and sometimes disappear, usually close to see things more clearly when the strabismus, which is a feature of it.
Strabismus on alternate days
Strabismus of the reasons for this baby is not yet clear, more or less in the 3-year-old disease, strabismus regularly once every other day, and in a few months or years after the development of constant esotropia. This baby is often a sudden onset, but the two structures function as well. Days without strabismus normal eyes, and in the days of strabismus can occur within eyes oblique position, the baby can express to describe their own adults see things overlapping each other, and accompanied by fever, physical discomfort, mild headache and see two things uncomfortable.
Concomitant strabismus
Such as strabismus performance inside and outside the two ramps.
Esotropia people commonly known as "cross-eye", often in less than 1-year-old baby, but also have a little baby. Within 6 months of your baby and more rational living, because the eye has not yet fully mature, in a state far, so looking at things close when the so-called "cross-eye." With age, the gradual development of the eye, "cross-eye" will disappear. It is worth mentioning that, some babies will be as a result of facial bones are in the development, the Department appears to nasion some relatively wide, it appears from the appearance as if the eyeball to the medial side, resulting in an illusion, and in fact the location of the eyeball or normal. Development of facial bones to be together, especially the eyes and nose, which will disappear false strabismus.
Exotropia known as "ramp looked down upon", the baby at an early stage and no symptoms, and gradually developed into a close look at two things uncomfortable. In order to avoid the eyes to see things askew eyes digital diplopia caused by, so close in the sun like an eye, as objects. In the spirit of the time not to concentrate or fatigue distance, and ran out of one eye that is outside the ramp.
Paralytic strabismus
This is a paralysis of ocular muscles, and some babies is a muscle paralysis, while others are multi-muscle, may be born with brain damage caused by forceps. Baby in order to see things clearly up often askew head to head with compensatory ocular movement can not be the direction of rotation can not compensate when one eye squint into.
The best treatment of how to grasp the opportunity?
Some babies may be in appearance strabismus can be seen at a glance, and some babies were not obvious or do not see, however, if early detection of strabismus and the best time to carry out treatment, your baby's life will be very important. Because once developed into a visually-impaired, when things did not look three-dimensional sense. Therefore, when the baby when the mother the following circumstances must not be taken lightly:
1, found that babies often excessive eye rubbing;
2, see things always close one eye, or turning Waitoushan head;
3, the number more than the blink of an eye, at the foot of the small things often trip;
4, look at things on a close object, can not see the near or distant objects;
5, the general complained that their baby can not see things, see things have ghosting (diplopia), when things look sick the past;
6, when the above issues, using a flashlight to look after your baby's eyes, the pupil is not found in the central spot. In addition, to cover the eyes with the palm of your hand compared to the turn, enables better examination results.
The so-called baby suffering from strabismus, no matter what kind, should be timely to see a doctor, the younger the better therapeutic effect, if the correction before the age of three, the two will be able to reach the normal level of visual function. Once the mature vision, surgical treatment is often poor, the majority of the treatment is only appearance, and visual function of the two difficult to achieve a very low normal.
Expert Tip: In order to ensure a healthy baby has a vision, even if no obvious abnormal eyes, my mother should be in the baby before 3 years old take him to the ophthalmologist, where the first eye examination done. In this way, it can be difficult to detect as early as possible those of strabismus and amblyopia found out the best treatment to avoid loss of time.

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