eyes are the windows of the soul!
especially the little baby's watery eyes, clear and cute. However, many parents have reported that shortly after the baby is born, the baby's eyes suddenly become "cross-eyed" or "rolled eyes".
Picture source: babycenter.com
This kind of "abnormal situation" makes parents very worried about whether there is a problem with the baby's eyes.
But in fact, if the baby has this situation before 1 year old , parents do not have to worry at all, because in most cases it is just the baby suffering from-pseudostrabismus (common before 1 year old)
Under normal circumstances, we When his eyes are looking at an object, the eye position of both eyes is the same, and the line of sight can be focused on the same object.
And if the baby is looking at an object, one eye is normal, but the other eye is intermittently or persistently misaligned, the line of sight is deflected in other directions, and the eyes cannot focus on the same object, it is squint .
In addition, because of the different causes of strabismus, and because some babies are caused by a wide nose bridge, strabismus can be divided into "true strabismus" and "false strabismus".
The main reason for babies suffering from false strabismus is
1. Some babies have a wide nose or epicrust on the inner corners of the eyes. The skin folds in the inner corners of the eyes block part of the white of the eyes, so the baby looks like squint (usually esotropia).
2. Because the baby's nervous system is not mature enough to control the eye muscles well, after seeing things for a long time, strabismus may occasionally appear (this kind of strabismus is also called transient strabismus).
No matter what cause the baby's pseudostrabismus is caused, it can disappear naturally as the baby (about 1 year old) gradually grows and develops.
Therefore, parents do not need to worry too much, nor do they need to intervene in the baby.
But if the baby is not squint caused by these reasons, parents need to be vigilant (the judgment method is later).
Because at this time, the baby may not be pseudo-strabismus, but-
true strabismus
True strabismus is different from pseudo-strabismus, true strabismus (also called squint, cross-eyed) is a common type of infants and young children For eye diseases, the incidence of is about 3%.
is mostly caused by focus (refractive) errors or muscle imbalance that controls eye movement, but sometimes it is caused by diseases such as retinoblastoma and cranial nerve palsy.
If the treatment is not timely, it may cause the baby's vision to decline, and even permanent blindness.
According to the position of the baby’s deviated eyes, the types of strabismus can be divided into:
PS: strabismus has genetic factors (family history of strabismus), excessive hyperopia (hidden hyperopia), Down syndrome, premature birth, and cerebral Paralysis, spina bifida, head injury and brain virus infection (encephalitis), etc.
True strabismus brings the main hazards to the baby:
● The baby has torticollis in order to see clearly;
● Causes amblyopia in the baby. If the baby is not treated before the age of 4, the vision loss may occur at the age of 6 and wait until 8 years old. After the left and right visual systems mature, the treatment effect will be insignificant, and permanent visual impairment can develop.
● After growing up, due to the influence of appearance, babies may develop inferiority complex and fearful of doing things, which will affect the future life.
Therefore, if the baby has true strabismus, it must be detected and treated early.
How do parents judge whether the baby is "pseudo-strabismus"
or "true strabismus"?
In fact, parents want to judge whether the baby has true strabismus or not. They only need to use these methods:
1. Nose pinch method-suitable for esotropia
Parents can gently pinch the bridge of the baby’s nose, Then observe the baby’s eyes, if the babyThe whites of the inner corners of the eyes can be exposed (as shown in the picture), and the baby is pseudo-strabismus and does not require intervention.
2. Observation method
If parents find that the baby has occasional strabismus, and it is transient, not a continuous strabismus, then the baby is probably due to the fact that the nervous system has not matured and caused transient strabismus.
This condition does not require treatment, and will disappear naturally as the baby grows up.
3. Corneal reflection method
and judging whether the baby has squint, look at the position of the light reflection point in the baby's two black eyes:
■ If the reflection point is in the middle of the baby's two black eyes, the baby does not have squint .
■ If there is a reflective point on the outer (inner, upper, lower) side of your baby's dark eyes, be careful. The baby is likely to be true strabismus. Parents need to take the baby to see a doctor in time for further diagnosis.
4. Use pen detection method
Place a pen in front of your baby. If you find that your baby can focus on both eyes while looking at the pen, there is basically no problem.
But if the baby is looking at the pen, one eye moves first and the other eye moves later, or one eye looks at the pen and the other eye looks away. In this case, the baby may have true strabismus, and it needs to be timely Take your baby to a doctor.
What should I do if my baby has "true strabismus"
?
True strabismus cannot heal itself, and may cause amblyopia or permanent vision loss in the baby, so after confirming that the baby has true strabismus, it must be treated in time.
Under normal circumstances, there are three treatment options for baby strabismus: wearing goggles, wearing glasses, and surgery . The doctor will give the baby a corresponding treatment plan according to the type and severity of the baby's strabismus.
goggles: use goggles to cover your baby's normal eyes and force the baby to see with another squint eye, which can strengthen the eye muscles and achieve the purpose of curing strabismus.
glasses: can wear special glasses for treatment for babies who are obviously out of focus.
Surgery: If the baby's condition is serious or non-surgical treatment is not effective, surgery can be used to correct muscle imbalance and treat it.
In fact, strabismus in a baby is the same as the baby’s common cold and fever, which is not terrible, as long as the parents find out in time and deal with it correctly.
But I’m afraid. Some parents can’t distinguish the situation and even give the baby a “cure” indiscriminately. For example, a baby we received some time ago:
. Parents are worried and at a loss when they find that the baby has "abnormal phenomena". They are all normal, but this does not mean that parents can treat their babies blindly.
For example, when many parents check their baby's vision, they find that the baby is farsighted, so they look for treatment for the baby in a hurry.
Normally speaking, newborn babies have "hyperopia reserve" when they are just born, and it is a kind of self-protection of the eyes, which makes us less short-sighted.
As the age grows, the child’s eyes develop slowly, the anterior and posterior diameters are getting longer, and the degree of hyperopia is gradually reduced to zero. Parents’ premature intervention and treatment will affect the baby’s vision development.
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