Other Squint

Other Squint

     There exist other variations of strabismus, such as Duane syndrome, Brown syndrome, and additional forms resulting from nerve weakness, albeit to a much lesser extent than esotorpia and exotropia.

     These variations lead to a disruption in eye muscle coordination, where the muscles and nerves surrounding the eye fail to work together effectively, impeding the eye's ability to perform natural movements.

     Such types of strabismus may be identified by parents when the child directs his gaze in a particular direction, revealing the strabismus only when looking in that direction, while unnoticed in other gaze directions.

       In many cases, this form of strabismus does not impair vision directly in either eye. However, it may occasionally result in another peculiar issue, such as neck twisting or head tilting.

      This occurs because children with strabismus often exert considerable effort to overcome it, attempting to align their eyes so that they are straight.

     This alignment can only be achieved by resorting to specific neck positions or head tilts to some extent, enabling the correction of eye alignment.

     Generally, intervention to correct strabismus in these cases is only pursued if it causes noticeable head tilting that impacts the patient's quality of life.

     In such instances, intervention in the eye muscles is undertaken to primarily improve neck alignment, which may lead to some improvement in the alignment of the eye muscles as well.

     In the forthcoming video, we will observe two cases treated by Dr. Osama Abdelhakim to address neck tilt.

    The treatment of such cases demands a high level of surgical skill and a comprehensive understanding from parents of the implications of strabismus on the child's neck, as well as the correlation between correcting the child's neck posture and intervening in the eye muscles.