Question
Can a two-year-old son’s monocular strabismus be treated? Disease Description: He was born with this condition and has not been seen by a doctor yet. Previous Treatment and Effectiveness: None. What kind of help do you want: Do you need surgery?
Answer
Treatment methods for strabismus vary depending on the type. For esotropia, it is first necessary to conduct a thorough dilation and refraction. If the strabismus cannot be completely corrected with glasses, or if the strabismus is unrelated to wearing glasses, surgical treatment should be considered. Children should undergo surgery at an earlier age to preserve good binocular vision, fusion, and stereoscopic function. For non-esotropia, the underlying cause should be identified first. Surgery should be performed after the condition has stabilized for more than 6 months. According to your description, if congenital esotropia is found within 6 months after birth, surgery should be performed before the development of binocular single vision function between 1 to 2 years old. If esotropia occurs after 6 months, surgery should not be performed immediately; it is essential to first conduct dilation and refraction. If there is myopia, wear a sufficient amount of corrective glasses for 3 to 6 months. If the esotropia is completely corrected with glasses, no surgery is needed; continue wearing glasses for healing. If the strabismus does not change after wearing glasses for more than 6 months, early surgery should be considered. If there is no change in strabismus after wearing glasses, early surgery is even more recommended.