डॉ. चिराग मित्तल
कॉर्निया सर्जन और नेत्र विशेषज्ञ
डॉ. हिमानी मित्तल
नवजात और बाल विशेषज्ञ
सुपरस्पेशलिटी सेंटर फॉर आई एंड चाइल्डहुड डिजीज
अपवर्तक सर्जरी
अपवर्तक सर्जरी आंख की अपवर्तक त्रुटि (चश्मा शक्ति) को ठीक करने के लिए की जाने वाली एक शल्य प्रक्रिया है। यह आमतौर पर चश्मे और कॉन्टैक्ट लेंस पर निर्भरता से छुटकारा पाने या कम करने के लिए किया जाता है। यह 18 - 21 वर्ष की आयु के बाद स्थिर अपवर्तन (ग्लास पावर) वाले रोगी में किया जा सकता है। सभी उम्मीदवारों में विस्तृत नेत्र परीक्षण के साथ पूरा चिकित्सा इतिहास अनिवार्य है, विशेष जांच जैसे कॉर्नियल टोपोग्राफी (पेंटैकम, ऑर्बस्कैन), पूर्वकाल खंड ऑप्टिकल कोहेरेंस टोमोग्राफी (एएसओसीटी) कॉर्निया के आकार, मोटाई और वक्रता और अन्य आयामों का मूल्यांकन करने के लिए किया जाता है। आंख। सभी विवरणों को प्राप्त करने के बाद, नेत्र सर्जन (नेत्र रोग विशेषज्ञ) रोगी के लिए अपवर्तक सर्जरी के उपलब्ध विकल्पों के बारे में निर्णय लेता है।
What is Vertical Squint?
Vertical squint occurs when one eye is positioned higher or lower than the other eye when looking straight ahead. This misalignment can be constant or intermittent depending on the underlying cause.
Vertical squint is usually classified into two main conditions:
Hypertropia
Hypertropia occurs when one eye deviates upward relative to the other eye.
Hypotropia
Hypotropia occurs when one eye deviates downward relative to the other eye.
Both conditions may affect vision, coordination between the eyes, and depth perception.
Treatment Options for Vertical Squint
Observation and Monitoring
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Some mild cases may only require periodic monitoring.
Glasses or Prism Lenses
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Special lenses may help align vision in certain cases.
Vision Therapy
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In selected cases, exercises may improve eye coordination.
Squint Surgery
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When the misalignment is significant, squint surgery may be recommended to adjust the eye muscles and improve alignment.
Symptoms of Vertical Squint
Why Early Treatment Is Critical
Patients with vertical squint may experience symptoms such as:
• One eye appearing higher or lower than the other
• Double vision (diplopia)
• Head tilt to compensate for eye misalignment
• Difficulty focusing on objects
• Eye strain or headaches
• Poor depth perception
In children, untreated vertical squint may lead to amblyopia (lazy eye) if not addressed early.
Diagnosis of Vertical Squint
Diagnosis involves a comprehensive eye examination that may include:
• Eye alignment testing
• Measurement of deviation angle
• Eye movement assessment
• Binocular vision evaluation
• Neurological examination if required
These tests help determine the type and severity of squint and guide the treatment plan.
Causes of Vertical Squint
Exhaustive Diagnosis
Vertical squint may occur due to several factors, including:
• Congenital eye muscle imbalance
• Weakness of specific eye muscles
• Nerve palsy affecting eye movement
• Trauma or injury to the eye muscles
• Thyroid eye disease
• Previous eye surgery
• Neurological conditions affecting eye coordination
A detailed examination is required to determine the underlying cause.
Squint Surgery for Vertical Squint
What to Expect
Squint surgery aims to restore proper alignment of the eyes by adjusting the position or strength of specific eye muscles.
The procedure is typically performed under controlled surgical conditions and is followed by regular follow-up to monitor healing and visual improvement.
The goal of treatment is to:
• Improve eye alignment
• Restore binocular vision
• Reduce double vision
• Improve cosmetic appearance
Why Choose AMVision Eye & Child Care?
Management of squint requires careful diagnosis and surgical expertise. At AMVision Eye & Child Care, patients receive:
• Detailed eye alignment evaluation
• Individualized treatment planning
• Care under the supervision of Dr. Chirag Mittal
• Structured follow-up and monitoring
The clinic focuses on ethical treatment decisions and patient-centred care.
Frequently Asked Question
What is vertical squint?
Vertical squint is a type of strabismus where one eye moves upward or downward relative to the other eye, affecting alignment and binocular vision.
What causes hypertropia?
Hypertropia may occur due to muscle imbalance, nerve weakness, trauma, or congenital eye muscle conditions.
Can exotropia be treated without surgery?
Is vertical squint common in children?
Can vertical squint affect vision?
Some cases can be managed with glasses, prism lenses, or monitoring. However, significant misalignment may require squint surgery.
Vertical squints are less common than horizontal squints but can occur in both children and adults.
Yes. It may lead to double vision, poor depth perception, and eye strain if untreated.