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Strabismus problem

Hello, tell me my opinion.

1, as long as the oblique angle is stable and greater than 15 prism, it can meet the basic requirements of surgical correction.

2. Traction test should be done before operation to confirm the postoperative effect (otherwise diplopia may occur after operation).

3. There are two key factors that determine whether secondary exotropia will occur after strabismus surgery:

1) For the design of recession or shortening of extraocular muscles, although the postoperative adjustment line can adjust the amount of surgery within a certain range, the deviation is large and cannot be adjusted. It is very important to choose a hospital for surgery. It is recommended to go to Tianjin Eye Hospital.

2) Whether the fusion function can be obtained after the operation and whether the normal fusion range can be formed. If it is intermittent exotropia, it is estimated that amblyopia will not be very serious, and binocular vision training after operation is very important.

If these two key factors are in the best state, then the probability of extroversion again is much smaller.

Nevertheless, the probability of recurrent exotropia after intermittent exotropia surgery is still very high, so we should be prepared psychologically.