13.13
Strabismus (SQUINT)
Malawi Standard Treatment Guidelines, 6th Edition, 2023. Chapter 13, Ophthalmic Conditions.
Clinical Description
Misalignment of the eyes
- Types
- Esotropia: eye rotated so that cornea is turned nasally
- Exotropia: eye rotated so that cornea is turned temporally
- Hypotropia: eye rotated so that cornea is turned downwards
Signs and Symptoms
- Eye strain
- Double vision
Investigations
- Misalignment seen on corneal light reflex and cover tests
Treatment
- Depends on the type of strabismus and the underlying cause
- Non-surgical: refractive error correction or use of prisms
- Surgical: strabismus surgery
- amblyopia treatment such as patching, in children
Complications
- Amblyopia (in children), double vision
Complications and Referral Criteria
- Refer ALL cases
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