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Strabismus surgery in patients with nystagmus
Many people suffer from nystagmus or what is called eye twitching. Nystagmus is a condition in which involuntary eye movements occur and in a fixed manner, the eyes move involuntarily and without control. Nystagmus is usually accompanied by poor vision and poor quality, in addition to the fact that a large percentage of patients with nystagmus also suffer from strabismus.
Strabismus is a condition in which the eyes are not parallel to each other and do not look in the same direction. In other words, one eye is directed in a different direction than the other eye, that is, in some patients with nystagmus, in addition to the constant twitching of the eyes they suffer from, they also suffer from strabismus, which causes one eye to stare inward or outward or up or down, and this condition is common.
Does strabismus worsen visual symptoms in patients with nystagmus?
Absolutely yes. The presence of strabismus in addition to nystagmus weakens visual acuity, quality of vision, three-dimensional vision, contrast vision, etc. In addition to all the symptoms of nystagmus patients such as sensitivity to light, they feel that the world is shaking and suffer from dizziness and other vision problems.
Can strabismus surgery be performed for nystagmus patients and with what type of anesthesia?Definitely yes. The mere fact of having nystagmus (eye twitching) does not prevent or constitute an obstacle to strabismus correction. On the contrary, both strabismus correction and nystagmus surgery can be performed in the same operation. Since strabismus surgery deals with the eye muscles, and nystagmus surgery also deals with the eye muscles, it is possible to perform strabismus correction and nystagmus surgery in the same stage.
What tests should a nystagmus patient undergo in order to undergo strabismus surgery?
It is recommended to have a complete eye examination including a vision examination, a complete refraction examination (glasses numbers), a corneal scan examination, a retinal examination, an intensive eye examination and lens measurements by the nystagmus specialist - Dr. Orwa Nasser.
Does nystagmus affect strabismus surgery?
No. The operation can be performed regardless of the cause of the eye twitching.
How is strabismus surgery performed for nystagmus patients by Dr. Orwa Nasser?
The strabismus surgery for nystagmus patients is performed by Dr. Nasser under general anesthesia while the patient is asleep or under local anesthesia where the patient is awake and does not feel pain during the operation. The operation is performed in a private hospital and sedatives are often given to help you feel more relaxed. The operation can be performed in one eye or both eyes, depending on the type of strabismus, nystagmus and the type of strabismus. During the operation, Dr. Nasser will expose the eye muscles through an incision on the surface of the eye located under the eyelid from the inside.
This way, no scars will appear after the operation. The eye muscles are then exposed and attached to the eyeball in a new place. The conjunctiva will be closed with thin sutures that are buried and invisible to the eye and will dissolve on their own after two weeks. If an adjustable suture technique is performed, fine adjustment of the strabismus can be made shortly after the procedure. At the end of the procedure, a clear shield is placed over your eye and you are released to go home immediately with specific instructions and an appointment for a check-up the next day.