Paralytic strabismus?

summary

Paralytic strabismus, strabismus caused by extraocular muscle paralysis is called paralytic strabismus. When both eyes gaze in different directions, they show different oblique angles, which is non concomitant strabismus. Today let me learn about paralytic strabismus with you?.

Paralytic strabismus?

First: diplopia: one of the characteristics of paralytic strabismus. Due to the trouble of diplopia, the patient can have vertigo, even nausea and vomiting. However, the patients with mild diplopia often have no obvious symptoms, and only have blurred binocular vision. If both eyes are examined separately, they are normal, and their vision is normal. They are often misdiagnosed as disease-free or neurosis, which should be paid attention to clinically.

Second: eye position deviation: paralytic strabismus generally has different degrees of eye position deviation. The more the paralytic muscles act, the more obvious the deviation of the diseased eye and the worse the diplopia; However, the deviation and diplopia gradually decreased or even disappeared when the paralytic muscle was viewed from the back.

Third: the second oblique angle is greater than the first oblique angle, that is, the squint degree of paralytic eyes is greater than that of healthy eyes.

matters needing attention

If the cause is unknown, antibiotics and corticosteroids can be used. Supportive therapy: oral or intramuscular injection of vitamin B1, B12 and ATP to help the recovery of neurological function. Local feasible physical therapy, such as ultrasound, audio frequency electrotherapy, in order to prevent paralytic muscle atrophy. Acupuncture therapy can also be tried out. During the treatment, the monocular should be covered continuously to prevent the trouble of diplopia. Covering must be done in rotation to prevent deterioration of binocular vision. If the cause of the disease has been eliminated, or it is confirmed that the disease has no longer recovered or progressed (generally in the stable condition for more than 6-12 months), prism correction or surgical correction is feasible.