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BOSTON EYE GROUP
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Strabismus
Strabismus refers to misaligned eyes. If the eyes turn inward (crossed), it is called esotropia. If the eyes turn outward (wall-eyed), it is called exotropia. Or, one eye can be higher than the other which is called hypertropia (for the higher eye) or hypotropia (for the lower eye). Strabismus can be subtle or obvious, intermittent (occurring occasionally), or constant. It can affect one eye only or shift between the eyes.
Strabismus usually begins in infancy or childhood. Some toddlers have accommodative esotropia. Their eyes cross because they need glasses for farsightedness. But most cases of strabismus do not have a well-understood cause. It seems to develop because the eye muscles are uncoordinated and do not move the eyes together. Acquired strabismus can occasionally occur because of a problem in the brain, an injury to the eye socket, or thyroid eye disease.
When young children develop strabismus, they typically have mild symptoms. They may hold their heads to one side if they can use their eyes together in that position. Or, they may close or cover one eye when it deviates, especially at first. Adults, on the other hand, have more symptoms when they develop strabismus. They have double vision (see a second image) and may lose depth perception. At all ages, strabismus is disturbing. Studies show school children with significant strabismus have self-image problems.
Amblyopia, or lazy eye, is closely related to strabismus. Children learn to suppress double vision so effectively that the deviating eye gradually loses vision. It may be necessary to patch the good eye and wear glasses before treating the strabismus. Amblyopia does not occur when alternate eyes deviate, and adults do not develop amblyopia.
Strabismus is often treated by surgically adjusting the tension on the eye muscles. The goal of surgery is to get the eyes close enough to perfectly straight that it is hard to see any residual deviation. Surgery usually improves the conditions though the results are rarely perfect. Results are usuallybetter in young children. Surgery can be done with local anesthesia in some adults, but requires general anesthesia in children, usually as an outpatient. Prisms and Botox injections of the eye muscles are alternatives to surgery in some cases. Eye exercises are rarely effective.
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An independent review of last year's results at the Boston Eye Group shows that 92%-96% of our patients were able to see 20/25 or better. 100% of patients were able to see 20/40 or better. This will usually enable you to pass a driver's license eye examination without glasses or contact lenses. Most patients are able to perform their daily activities and enjoy many sports with minimal, if any, reliance on glasses.
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Contact us to learn more about Laser Vision Correction and other surgical treatment options to improve your vision. Our specialists have extensive experience and training, and our patients report great satisfaction with their laser eye surgery. Dr Melki is on the clinical faculty at Harvard Medical School and has conducted thousands of laser eye surgery procedures. Learn more about Laser Eye Surgery and financing options. We have a page on this website dedicated to discussing LASIK patient financing. You can even fill out an online application to qualify for LASIK financing. We offer 0% financing, on approved credit with low fixed monthly payments, no down payment and no pre-payment penalty.
Commitment to Quality
In addition to superior experience, ensuring the utmost success and safety during laser vision correction involves using state-of-the-art equipment and highly trained personnel. This is translated into a higher cost than found at the so-called "discount Lasik chains". We believe that our patients understand that a compromise on quality is unacceptable when it comes to one's vision. It is our commitment to best service and technology that determines our pricing model.
What is iLASIK?
Are you ready to reduce or eliminate your dependence on glasses or contact lenses? The iLASIK Procedure is the result of a decade's worth of technical refinement; it combines all of the most advanced all-laser LASIK technology in one efficient LASIK procedure... It simply doesn't get any better, so now is the time.
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Recent News
Dr Fava receives best paper award at the American Society of Cataract and Refractive Surgery annual meeting
Dr Melki named in the top 250 intraocular lens innovators
Mass Eye and Eye partners with Boston Laser to deliver Cosmetic services in Brookline
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Our web site was created as a patient education resource for any interested patient. Feel free to explore the entire website to get the answers to the questions that you have been seeking. If you have service, LASIK, cosmetic, or cataract questions call us we can help!(617) 277-4733