"Play with your phone again, be careful to break your eyes!"
I often hear parents persuade their children like this. Not to mention, there really is such a situation in reality!
14-year-old Xiao Li (pseudonym) is a junior high school student, his parents are busy with work and often have no time to take care of the family, so every afternoon after school and on weekends, Xiao Li has an absolute "free time", nesting on the sofa to play mobile games, and sometimes even stay up all night to play.
A few months ago, Xiao Li was walking on the way from school and suddenly found that everything in front of him was "shaking", and when he stared at things carefully, he would not be able to focus and ghost.
Xiao Li knew that something was wrong, so he "quit" playing with his mobile phone for a week, and the situation improved slightly, and he began to hide in the quilt and play games quietly.
As a result, when he woke up that morning, he was not only dizzy, but also found that his eyes were slanted inward, turning into "cross-eyed"! Xiao Li was startled, thinking that he had some serious illness, so he could only confess to his parents.
The parents hurriedly brought Zhejiang Provincial Hospital of Integrated Traditional Chinese and Western Medicine (Hangzhou Red Cross Hospital) for examination to rule out neurological lesions, and after a detailed and professional examination by an ophthalmologist, it was found that Xiao Li had a series of uncomfortable symptoms, which was an eye disease called acute common esotropia.
"The child's eye condition has been going on for more than three months and needs immediate surgery!"
After full communication with the parents, Chief Physician Zhu Liwei, an expert in strabismus and amblyopia, performed internal rectus muscle retraction surgery + lateral rectus muscle shortening surgery for Xiao Li under local anesthesia. The operation went smoothly, Xiao Li's eye position became correct after the operation, and the diplopia disappeared, Director Zhu Liwei repeatedly instructed Xiao Li to control the time of playing with his mobile phone and exercise as much as possible.
Preoperatively
Six weeks postoperatively
What is acute common esotropia?
When two eyes can't look at a target at the same time, we call it strabismus.
As one of the types of strabismus, acute common esotropia mainly refers to a special type of esotropia with a sudden onset, unbalanced binocular visual axis, ocular deviation, accompanied by diplopia, the degree of strabismus in each direction is approximately equal, the eye movement is good, there is no paralysis of the extraocular muscles and there is no obvious organic nervous system lesion on examination.
Director Zhu Liwei said that this kind of esotropia often has triggers, such as long-term close-up eye use, refractive error but not corrected, covering one eye or decreased vision in one eye, and some are caused by neurological diseases.
How is acute common esotropia treated?
There are two ways to treat acute common esotropia, one is surgical correction and the other is non-surgical correction.
Director Zhu Liwei mentioned that for the initial acute common esotropia, if the patient has a small degree, he first needs to correct his wrong eye habits, and at the same time choose to wear prism and visual function training to eliminate double vision and improve symptoms such as dizziness and fatigue.
If strabismus is more severe, surgery is required to adjust the eye muscles to normalize the eye position of strabismus.
In recent years, the number of patients with acute common esotropia has increased, and the trend is younger. Zhu Liwei, director of Hangzhou Red Cross Hospital, finally reminded him:
1. Develop scientific eye habits and avoid long-term close eye use;
2. When using electronic products, it is necessary to be more relaxed and pay attention to rest.
Source: Hangzhou Daily, Comprehensive Health Hangzhou, Voice of West Lake