Case 1
This case of a child with a large exotropia (divergent squint ) shows the left eye deviated outwards, with a moderate vertical element as the right eye is higher than the left (right hypertropia). Squint treatment required an operation. Following surgery to the right eye he shows excellent horizontal alignment in this early (1st day) post-operative picture with minimal redness of the right eye.
Case 2
This patient was distressed by the red ‘bloodshot’ appearance of the previous scar on the nasal aspect (inside) of the left eye sustained after surgery as a child many years previously in another hospital. Squint treatment indicated using Botulinum Toxin to the lateral rectus (outside) muscle on the left eye, allowing us to pull the eye inwards. This not only makes the patient look much better in terms of alignment but also hides the unsightly scar.
Case 3
This young woman’s left eye has drifted outwards for many years. It was a source of embarrassment. Squint treatment in this case involved undertaking surgery to stop the left eye ‘wandering out’. The result gave the patient a very pleasing post-operative appearance compared to her old pre-operative photo.
Case 4
This gentleman’s job involves meetings which were made difficult due to his obvious right divergent squint. Most of his surgery was done under general anaesthesia and on awakening we were able to ‘fine tune’ the result with an adjustment for optimum position, using an adjustable suture technique. In squint treatment, this is the preferred option for many reasons not least because eye alignment can change between anaesthesia and wakefulness. Adjustable sutures help avoid post-operative surprises, especially with regard to double vision or under/overcorrection.
