Strabismus is not just a difference in the direction of the eyes, but a disorder that affects the harmony of eye movement, the quality of vision, and the visual skills necessary for reading, concentration, and social adaptation, especially in children. At Dr. Abram Ernst’s clinic, we provide a comprehensive program for treating strabismus in children and adults, combining accurate diagnosis, advanced treatment options with careful follow-up, and psychological support for children and families to ensure the best possible functional and cosmetic outcome.
When one or both eyes deviate from the axis of vision, the brain of a child or adult becomes unable to merge the two images into one integrated image. The result may be double vision or chronic eye strain, in addition to the failure of vision to develop in the deviated eye in children, such as amblyopia. Therefore, early diagnosis and proper treatment are key to avoiding permanent complications.
We provide structured care through clear, step-by-step stages to ensure accurate diagnosis and the best treatment plan for each case. This process includes:
An initial consultation with a detailed medical history review, including when the strabismus started, whether it is intermittent or constant, and whether there are any previous diseases or injuries.
A comprehensive eye examination, including visual acuity testing and assessment of binocular vision and image fusion.
Precise measurement of deviation angles using specialized diagnostic devices.
Additional examinations such as fundus imaging, evaluation of nerve functions, and corneal topography testing when needed.
Developing a customized treatment plan with a clear explanation to the patient or parents regarding the goals and expected outcomes.
Regular follow-up after each treatment stage to monitor progress, refine results, and prevent recurrence of strabismus.
Accurate diagnosis cannot be based solely on visual observation. It requires advanced tools, modern techniques, and standardized measurements — all of which we rely on at Dr. Abram Ernest Eye Center, including:
Measuring deviation angles using the cover/uncover test and prism cover test.
Assessing binocular vision and checking for amblyopia.
Evaluating extraocular muscle function and eye movement in all directions.
Conducting neurological assessments when a neurological cause is suspected.
Using high-precision imaging devices to monitor changes before and after treatment.
Mild cases — especially those caused by refractive errors or minor amblyopia — do not require surgical intervention. Treatment in such cases relies on visual therapy, exercises, and supportive tools such as eye patching.
Corrective glasses: Used to treat refractive errors that may be the underlying cause.
Eye patching: Helps treat amblyopia by stimulating the weaker eye.
Prism lenses: Used to correct double vision and properly align the visual image.
Vision therapy and eye exercises: Structured programs designed to improve visual coordination and function.
Botulinum toxin injections (Botox): A temporary or sometimes long-term solution to adjust muscle strength in selected cases.
The condition does not improve with conservative management (glasses or exercises).
The deviation is constant and affects binocular vision or causes persistent double vision.
There is a functional weakness in an eye muscle or nerve that requires anatomical correction.
Cosmetic and psychological improvement has become essential to enhance the patient’s quality of life.
Preparation: Includes preoperative assessments, fasting instructions if required, and discussion of anesthesia type — typically local anesthesia for adults and general anesthesia for children.
Anesthesia: Selected based on age and overall medical condition.
Surgical procedure: A small incision is made in the conjunctiva, followed by adjustment of the muscle’s position or length, and fixation in the new alignment.
Closure: Usually performed with fine sutures that are either dissolvable or do not require removal.
Postoperative follow-up: Includes anti-inflammatory eye drops and scheduled follow-up visits over days, weeks, and months.
Same-day discharge or after a short observation period.
Mild swelling, redness, and increased tearing are expected and usually resolve within a few days.
Avoid rubbing the eye or exposing it to direct water for a specified period.
Use prescribed eye drops regularly as instructed.
Follow-up visits are scheduled at one week, one month, three months, six months, or as needed based on the case.
Some patients may require additional vision therapy sessions afterward.
Yes, and early intervention is often preferred to avoid lazy eye.
No, intraconjunctival surgery is usually non-invasive and does not leave visible scars.
In a small percentage, a subsequent adjustment may occur, so we use adjustable threads and perform close monitoring.
Most patients notice improvement within days, and full improvement within weeks to months depending on the case.
Yes, and early intervention is often preferred to avoid lazy eye.
Therefore, if you notice a deviation in your child’s eye or experience double vision or persistent eye strain, contact Dr. Abram Ernst’s clinic to book a comprehensive examination and personal assessment, as early diagnosis ensures simpler treatment options and better results.
At Dr. Abram’s clinic in Fifth Settlement, we provide a comfortable and safe environment equipped with the latest medical devices specializing in the diagnosis and treatment of eye diseases. The medical team is keen to provide an integrated treatment experience that ensures care and attention for each patient at every stage of treatment.
