Xu Qian

4月3日，家住雲南昆明的6歲女童涵涵(化名)到昆明愛爾眼科醫院進行肉毒素注射治療急性共同性內斜視后的半年複查。檢查結果顯示，涵涵的右眼眼位術後半年仍保持正位，治療效果良好。

In 9 years and 0 months, due to the long-term use of electronic products such as tablets, Han Han had symptoms of inward deviation of his right eye, and with the passage of time, the slope gradually increased, and there was also a double vision of "seeing things one into two", which seriously interfered with daily life. In order to seek systematic diagnosis and treatment, her parents immediately took her to Kunming Aier Eye Hospital for treatment.

After professional examination and exclusion of intracranial lesions, Xu Jiangtao, a well-known domestic expert in strabismus and pediatric ophthalmology and vice president of Yunnan Province of Aier Eye Hospital Group, diagnosed that Hanhan's right eye was suffering from "acute common esotropia". It is understood that this is a kind of esotropia caused by the destruction of the central fusion mechanism due to the influence of long-term close-up eye use and other external factors, which is manifested as the deviation of the black eyeball to the nasal side and the appearance of double vision.

According to the actual situation of the child and the demands of the family, after comprehensive consideration and evaluation by Xu Jiangtao, a non-surgical treatment plan for strabismus was formulated for Hanhan - extraocular muscle toxin injection.

It is understood that the principle of botulinum toxin injection in the treatment of strabismus is to inject the drug into the target extraocular muscle, so that the contraction force of the muscle is weakened, so as to change the position and movement state of the eyeball, and achieve the purpose of correcting strabismus. 3 days after the operation, the symptoms of esotropia in Hanhan's right eye have been corrected, and the phenomenon of double vision has disappeared at the same time.

Xu Jiangtao said that botulinum toxin injection for the treatment of strabismus has the advantages of less trauma and faster recovery, but it is necessary to strictly grasp the indications, and such therapy is suitable for patients with strabismus who have a short course of disease and no obvious contraction of eye movement muscles; Patients with strabismus who have initial strabismus, strabismus patients whose surgical design is difficult due to uncertain angle changes, and patients with esotropia who are overcorrected after exotropia surgery and who have residual undercorrection after esotropia surgery. For patients with a long history, large-angle strabismus, or complex types of strabismus, surgical correction is still required. "The treatment plan for strabismus needs to be personalized according to factors such as the patient's age, course of disease, type of strabismus and general condition."

According to reports, in recent years, there have been many cases of acute common esotropia in children caused by excessive use of electronic devices. Xu Jiangtao reminded parents that in daily life, it is necessary to strictly control the time that children use electronic products, ensure more than 2 hours of outdoor activities every day, and conduct regular eye examinations. (Wang Na)