Abstract: in principle, children with strabismus and amblyopia should treat amblyopia first and then strabismus. Only with the improvement of vision can the surgical effect be consolidated. But for large degree strabismus, strabismus should be corrected first, otherwise strabismus can not be well watched, and amblyopia can not be well treated., 1. For congenital esotropia found after birth or within 6 months, the operation should be performed at the age of 1 ~ 2 years before the development of binocular monocular function; If esotropia occurs after 6 months, it must not be operated on immediately. It must be mydriatic optometry first. If there is hyperopia, wear sufficient corrective glasses for 3 ~ 6 months. If the esotropia is completely corrected, it is not necessary to operate and continue to wear glasses to cure it. If the esotropia is only reduced after wearing glasses for more than 6 months, the residual esotropia should be operated on as soon as possible. If there is no change in the esotropia after wearing glasses, it should be operated on as soon as possible., 2. Children with exotropia should undergo early surgery, especially intermittent exotropia. Although there are conservative treatment methods such as negative mirror treatment and convergence training, these methods can only reduce the degree of exotropia and can not achieve the purpose of cure. Surgical treatment is the first choice for the disease, and surgical correction should be carried out as soon as possible before the formation of dominant exotropia and the loss of binocular monocular function. The best operation time is 4 ~ 6 years old., 3. Monocular esotropia can be treated with covering therapy to promote it to become alternating esotropia, and then surgery, which is more favorable to restore the monocular function of both eyes. If covering for more than half a year is still ineffective, it can also be treated surgically., 4. The visual acuity of both eyes is normal, and there is no obvious ametropia in mydriatic optometry, which proves that the treatment with glasses is invalid, and the operation should be carried out as soon as possible., 5. For intermittent strabismus with small strabismus and frequent changes, suspend the operation and observe whether it can heal itself. If the strabismus gradually increases, it is not late to operate again., 6. In principle, children with strabismus and amblyopia should treat amblyopia first and then strabismus. Only with the improvement of vision can the surgical effect be consolidated. But for large degree strabismus, strabismus should be corrected first, otherwise strabismus can not be well watched, and amblyopia can not be well treated., 7. Congenital paralytic strabismus, especially children with compensated head position, should be corrected by surgery at the age of about 3 years, while paralytic strabismus caused by the day after tomorrow should try to find the cause and cooperate with drug treatment. Surgery can be considered only if the treatment is ineffective for half a year., 8. For esotropia and exotropia complicated with intraocular diseases, the operation should be carried out after the age of 12 to prevent exotropia or recurrence of exotropia without binocular vision control.,
1. For congenital esotropia found after birth or within 6 months, the operation should be performed at the age of 1 ~ 2 years before the development of binocular monocular function; If esotropia occurs after 6 months, it must not be operated on immediately. It must be mydriatic optometry first. If there is hyperopia, wear sufficient corrective glasses for 3 ~ 6 months. If the esotropia is completely corrected, it is not necessary to operate and continue to wear glasses to cure it. If wearing glasses for more than 6 months, the esotropia is only alleviated. The residual strabismus should be operated on as soon as possible. If there is no change in strabismus after wearing glasses, it should be operated on as soon as possible.
2. Children with exotropia should undergo early surgery, especially intermittent exotropia. Although there are conservative treatment methods such as negative mirror treatment and convergence training, these methods can only reduce the degree of strabismus and can not achieve the purpose of cure. Surgical treatment is the first choice for the disease, and surgical correction should be carried out as soon as possible before the formation of dominant exotropia and the loss of binocular monocular function. The best operation time is 4 ~ 6 years old.
3. Monocular esotropia can be treated with covering therapy to promote it to become alternating esotropia, and then surgery, which is more beneficial to restore the monocular function of both eyes. If the covering is still invalid for more than half a year, it can also be treated surgically.
4. The visual acuity of both eyes is normal, and there is no obvious ametropia in mydriatic optometry, which proves that the treatment with glasses is invalid, and the operation should be carried out as soon as possible.
5. Suspend the operation for intermittent strabismus with small strabismus and frequent changes, and observe whether it can heal itself. If the strabismus gradually increases, it is not late to operate again.
6. In principle, children with strabismus and amblyopia should treat amblyopia first and then strabismus. Only with the improvement of vision can the surgical effect be consolidated. However, for large degree strabismus, strabismus should be corrected first, otherwise strabismus can not be well watched, and amblyopia can not be well treated.
7. Congenital paralytic strabismus, especially children with compensated head position, should be corrected by surgery at the age of about 3 years, while paralytic strabismus caused by the day after tomorrow should try to find the cause and cooperate with drug treatment. Surgery can be considered only if the treatment is ineffective for half a year.
8. For esotropia and exotropia complicated with intraocular diseases, the operation should be performed after the age of 12 to prevent the recurrence of exotropia or exotropia without binocular vision control.