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Can squint be corrected with glasses

Can squint be corrected with glasses

Particular type of squint can be corrected by gasses, for example accommodative esotropia. The full hyperopic correction based on the cycloplegic refraction is initially prescribed. The mechanism involves 3 factors: (1) uncorrected hyperopia, (2) accommodative convergence, and (3) poor fusional divergence.

What happens after a child starts wearing glasses for accommodative esotropia?
Even after a child has been successfully wearing glasses to treat accommodative esotropia, it is still normal for the eyes to continue crossing without the glasses.  In fact, the crossing may be even more noticeable than it was before the child started wearing glasses. The important thing is whether the eyes are straight and controlled with the glasses on. If the eyes are not  straight with glasses on, then  vision with two eyes will not develop   normally.  Your pediatric ophthalmologist is the best person to judge this and will give you feedback at follow-up examinations. These follow-up examinations are important not only to monitor the eye crossing, but also to check for associated problems such as amblyopia (decreased vision in one or both eyes which is common in this type of strabismus).

Why do some children with accommodative esotropia require bifocals?
In some cases, children will have particularly excessive amounts of eye crossing (esotropia)  at near, such as while reading. This may occur even when wearing the correct glasses to correct their farsightedness (hyperopia) and they may have perfectly straight eyes when looking at distant objects. These children may benefit from making the lower, reading area of the eyeglasses “extra strong” in the form of a bifocal lens.

Can children outgrow accommodative esotropia?
Yes, children can outgrow accommodative esotropia. This usually happens during the grade school and adolescent years as a child becomes less farsighted. It is difficult to predict early in childhood whether or not any given child will outgrow their need for glasses.