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 | An independent review of our lasik results from last year show: 95% of patients are seeing 20/25 or better, 100% of patients are seeing 20/40 or better (November 08) |
| Dr. Melki's best selling book "101 Pearls in Refractive, Cataract, and Corneal Surgery", is translated to a Spanish edition (November 08) |
| Dr. Melki give a free seminar on the advancements in Cataract lenses and surgery. (October 08) |
| Renovations complete for lower level of The Boston Eye Group administrative offices (September 08) |
| Kristina Slattery is named the new Practice Administrator of The Boston Eye Group (August 08) |
| Dr. Mark Fava joins The Boston Eye Group for a Cornea and Refractive Surgery Fellowship. (July 08) |
| World-Renowned Retina Specialist Tatsuo Hirose MD, Joins The Boston Eye Group (July 31 2008) |
| Tatsuo Hirose, MD joins the Boston Eye Group (July 14 2008) |
| LASIK Financing: 0% down for 12 months till the end of December |
| Dr. Melki was featured on WBZ TV Channel 4 for the Implantable Contact Lens Treatment (March 08) |
| Elliot Finkelstein, MD and Macie Finkelstein, MD join The Boston Eye Group (February 08) |
| Read More... |
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Eye Care Information : Optics & Refraction : 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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