Pediatric Squint

Under normal physiological conditions, the image of an object falls simultaneously on the fovea of each. This is possible if the eyes are properly aligned. This straight position of the eyes is called orthophoria. Any misalignment of the either eye is called strabismus or eye deviation in other words. There are 2 benefits of treating strabismus. The initial one is functional gain including the improvement of visual acuity and stereopsis.

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The second one is the cosmetic improvement. Tropia defines manifest deviation of eyes and phoria implies latent deviation. Phoria is detected by the simple cover-uncover test. The test is performed while the patient fixates a distant object. The physician covers one eye for 2-3 seconds and then the other eye. If orthophoria is present, no movement is detected. If latent deviation exists movement of eyes towards the opposite of the deviation is observed. Paralytic strabismus in children may be in form of third, fourth or sixth cranial nerve palsy.

16 Complementary Pediatrics The most common one is the sixth cranial nerve palsy (abducens palsy), which is characterized by loss of abduction. Cranial imaging must be ordered in all forms of acquired paralytic strabismus to exclude cranial masses

Pseudo-strabismus is the illusion of deviation in a child with orthophoria. It is most commonly in the form of pseudo-esotropia. The most common reason for this false appearance of inward deviation is broad nasal bridge with prominent epicanthal folds. This appearance usually resolves spontaneously and requires no treatment

Management Associated amblyopia and refractive errors must be addressed initially in all cases of strabismus. Abnormal eye movements are frequently associated with pediatric eye deviations and they can influence the management of the cases. Accommodative types of esotropia may be completely cured with spectacles. Surgical correction is decided according to the angle of deviation, if the deviation is not corrected by the spectacles during follow-up. All types of strabismus must be referred to an ophthalmologist, since early treatment by spectacles or surgery is important for normal binocular visual development.

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Dr. Neeraj

Specialist: Ophthalmologist
Experience: 31+ years of experience
Hospital: Viaan eye and retina centre

More about Dr. Neeraj

Dr. Neeraj Sanduja is a reputed eye specialist with 18 years of rich experience as a Vitreoretinal Consultant. Dr. Sanduja completed his MBBS degree from PGIMs Rohtak and MS in ophthalmology from the same institute. Currently, Dr. Sanduja works as a Senior Consultant-Ophthalmology (Vitreoretinal) in Paras Hospitals, Gurgaon. His previous experience includes a stint at William Beaumont Hospital, Michigan, the USA as a Visiting Fellow in Paediatric Retina.
Dr. Sanduja has been involved in the organisation of various national and international conferences on subjects such as Diabetic Retinopathy, AMD and Retinopathy of Prematurity. Dr. Sanduja has always excelled in his profession as well as academics. He has multiple fellowships like FICO (UK), FRCS (Glasgow) & FAICO (Retina). He was awarded the Best Ophthalmologist in Delhi/NCR (2015) by the IMA. He has published numerous papers in various national and international publications. His area of expertise includes Vitreoretinal Laser Surgery, Disease of Retina and UVEA, Diabetic Retinopathy, Retinal Detachment, Ocular Trauma, Retinopathy and Macular Hole. Read More

Viaan Eye & Retina Centre

Airport Distance: 20 kms from Indira Gandhi International Airport, New Delhi.
Location – Plot No. – 2227, Near, Wazirabad Rd, Wazirabad, Sector 57, Gurugram, Haryana 122011

Brief about Hospital:

Discover Excellence in Eye Care:

At Viaan Eye & Retina Centre, we take pride in being recognized as the best eye hospital in Gurgaon. Our commitment is to deliver state-of-the-art diagnostic and therapeutic services across all ophthalmic subspecialties. With a focus on utilizing cutting-edge technology and combining it with the expertise of our skilled professionals, we ensure the highest standards of eye care.

Our Unique Approach:

What sets us apart is our guiding philosophy – to provide ethical eye care by integrating the latest technology with human intelligence. We believe in delivering not just routine eye-care services but also advanced diagnostic and therapeutic solutions for vitreous and retinal diseases. Our expertise extends to performing Phacoemulsification surgery for Cataracts, showcasing our dedication to comprehensive eye care. Read More