bachelorThesis
Hipermetropía en paciente de 6 años.
Autor
Jara Sarcos, Miluska Janina
Institución
Resumen
Convergent strabismus is the loss of parallelism of the child's eyes. As a consequence, there is an abnormal deviation of one or both eyes in any of the gaze positions. This lack of alignment means that both eyes cannot focus on the same point simultaneously. It may happen that one of the eyes is dominant and the other is he deviates, as well as alternation between both. One of the most frequent consequences of childhood strabismus is that when perceiving different images, the brain discards one of them to avoid double vision or diplopia, so there is a risk that the eye that is not used does not develop its vision adequately and The eye becomes lazy or amblyopic or develops refractive errors such as hyperopia. At birth, and during the first months of life, we often notice a certain degree of deviation that may be normal. If this occurs consistently or after 6-7 months of age, it may be a strabismus. Therefore, all children who deviate an eye should be examined by a pediatric strabismus specialist or ophthalmologist at six or seven months of age. We must distinguish from a strabismus what we call pseudostrabismus. In this case, it seems that when the child looks to the side there is an ocular deviation, but the muscles are working properly. That is, the eyes maintain an adequate parallelism and there are no alterations in binocular vision. It is a false strabismus that does not require treatment because as the nasal bridge of the inner canthus of both eyes grows, it will approach and stop giving that feeling of deviation. Convergent strabismus is the loss of parallelism of the child's eyes. As a consequence, there is an abnormal deviation of one or both eyes in any of the gaze positions. This lack of alignment means that both eyes cannot focus on the same point simultaneously. It may happen that one of the eyes is dominant and the other is he deviates, as well as alternation between both. One of the most frequent consequences of childhood strabismus is that when perceiving different images, the brain discards one of them to avoid double vision or diplopia, so there is a risk that the eye that is not used does not develop its vision adequately and The eye becomes lazy or amblyopic or develops refractive errors such as hyperopia. At birth, and during the first months of life, we often notice a certain degree of deviation that may be normal. If this occurs consistently or after 6-7 months of age, it may be a strabismus. Therefore, all children who deviate an eye should be examined by a pediatric strabismus specialist or ophthalmologist at six or seven months of age. We must distinguish from a strabismus what we call pseudostrabismus. In this case, it seems that when the child looks to the side there is an ocular deviation, but the muscles are working properly. That is, the eyes maintain an adequate parallelism and there are no alterations in binocular vision. It is a false strabismus that does not require treatment because as the nasal bridge of the inner canthus of both eyes grows, it will approach and stop giving that feeling of deviation. El estrabismo convergente es la pérdida de paralelismo de los ojos del niño. Como consecuencia, se produce una desviación anormal de uno o ambos ojos en alguna de las posiciones de la mirada. Esta falta de alineación hace que ambos ojos no puedan enfocar un mismo punto simultáneamente. Puede ocurrir que uno de los ojos sea el dominante y el otro sea él se desvía, así como alternancia entre ambos. Una de las consecuencias más frecuentes del estrabismo infantil es que al percibir imágenes diferentes, el cerebro descarta una de ellas para evitar visión doble o diplopía, por lo que se corre el riesgo de que el ojo que no se utiliza no desarrolle adecuadamente su visión y se convierta en ojo vago o ambliope o que desarrollen defectos refractivos como la hipermetropía Al nacer, y durante los primeros meses de vida, es frecuente que apreciemos cierto grado de desviación que puede ser normal. Si esto ocurre de manera constante o pasados los 6-7 meses de edad, puede que se trate de un estrabismo. Por eso, todos los niños que desvíen un ojo, deben ser explorados por un especialista en estrabismo infantil u oftalmólogo pediatra a los seis o siete meses de edad. Hay que distinguir de un estrabismo lo que llamamos el pseudoestrabismo. En este caso da la sensación de que cuando el niño mira hacia un lado existe una desviación ocular, pero los músculos funcionan correctamente. Es decir, los ojos mantienen un paralelismo adecuado y no hay alteraciones de la visión binocular. Es un falso estrabismo que no precisa tratamiento porque al crecer el puente nasal del canto interno de ambos ojos se aproximará y dejará de dar esa sensación de desviación.