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Good Hope Hospital Eye Clinic
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Adults attending the Orthoptic Department

Orthoptic related pages

A squint is the condition when the right and left eye look in different directions. So, while one eye seems to look straight ahead, the other will appear to look left or right, or up or down see.

An adult who has a squint or weakness of their eye co-ordination may notice double vision, blurred vision or head-aches. The squint may have been present for years or may be more recent.

The websites here  and here explain the condition in more detail.

Some times the eye that is not doing the work, that is the eye that turns left or right whilst the other looks straight ahead is a 'lazy' or 'amblyopic' eye. Amblyopia in adults is not curable..although an operation may make the lazy eye point in the same direction as the good eye...the eye still will not see any better after the operation.

 

Some very useful websites

  • www.bbc.co.uk
  • http://sdhawan.com
  • www.eye-care.org.uk
  • www.lazyeyesite.org
  • Squints in children
  • A nice drawing
  • patient information
  •  


    The causes of squints in adults include
    • a longstanding eye muscle weakness, with or without amblyopia
    • injury
    • thyroid eye disease
    • brain diseases in the elderly, such as a third nerve weakness due to diabetes or hypertension
    • many other conditions including multiple sclerosis, myasthenia, eye surgery, brain problems
    • see

     


    Treatment for adults includes
    • investigate and treat the cause
    • orthoptic exercises
    • prisms
    • surgery
    • (botulinum toxin)

     


    Orthoptic exercises
    Orthoptic exercises may help to reduce some or all of the symptoms in an adult.

     


    Prisms
    Prisms may be used in the treatment of double vision. A type of prism called a Fresnel prism will ‘stick’ onto the lens of  a pair of glasses and will join the double images. See

     


    Surgery

    There is no upper age limit for squint surgery. Orthoptic testing will assess whether surgery will help.

    • Basically, if the squint is large surgery will help cosmetically animation;
    • if the squint is small but there is double vision, surgery may help, often with adjustable sutures



    ----------------------Eye pages website feedback -----this page edited June 2007----------------------