Question

If a child has strabismus but it’s not very obvious, what should be done?

Answer

Preventive and health care measures for strabismus include:

  1. After normal vision is achieved, a check-up should be conducted once a month for the first 6 months. Then, the frequency can be reduced to once every 3 months and once every 6 months, continuing until a full 3 years of follow-up treatment and complete recovery.
  2. The occlusion therapy should be gradually removed after the vision has returned to normal. Initially, the eyes should be uncovered for 2 hours each day, then extend to 4 hours per day after 1 month if the therapy is effective. Continue to increase the time to 6 hours, 8 hours, or even full-time uncovering, or switch from full occlusion to half occlusion to consolidate the therapy. During the consolidation period, detailed work should not be relaxed.
  3. In addition to vision therapy for strabismus, it is also crucial to train binocular single vision function and convergence ability. If vision decline is detected, restore the afterimage therapy. The afterimage therapy should not be stopped abruptly; instead, gradually reduce the frequency and extend the intervals, slowly stopping and then frequently train with the amblyopic eye after stopping.