Congenital squint syndrome

The congenital squint syndrome (also: early childhood squint syndrome ) is a congenital disorder of the eye movement , which consists of an extensive complex of symptoms. In addition to the full picture of this disease, all conceivable combinations down to individual symptoms are possible. Because of the difficult festzustellenden in practice manifestation timing, a distinction is usually due to the history of the congenital from early childhood squint beginning, which means the period from 2 to 7 months of age.

Symptoms

Fluctuating squint angles

→ Main article : Squint

With congenital squint, there is a large, constant squint angle, while with early childhood manifestation the squint angle is large, but usually variable. Fixation by adduction is preferred in both cases .

Nystagmus

→ Main article : Nystagmus

There is still a jerk nystagmus from Latenstyp . The neutral zone, i.e. the position in which the eye tremors are calmest, is in adduction. Often a manifestation is found when covering an eye and attempting an abduction movement.

Vertical disturbances

→ Main articles : Strabismus sursoadductorius , strabismus deorsoadductorius  and alphabet symptom

Often there are errors in the innervation pattern of the straight and oblique eye muscles . Here significant Inkomitanzen are the horizontal variations in construction and downgaze (A / V symptoms), and the typical slant height squint.

Dissociated squint

→ Main article : Dissociated squint

The non-leading eye deviates upwards without recognizable regularities and to varying degrees.

Compensatory head postures

→ Main article : Forced head posture

In combination with nystagmus in particular, there is often a forced head posture.

therapy

The respective treatment options are documented in the main articles. If the full picture of this disease is present, a complete cure cannot be expected. Even intensive pleoptic and orthoptic treatment procedures are often unable to bring about normal binocular vision .

literature

• Herbert Kaufmann (Ed.): Strabismus. Enke, Stuttgart 1986, ISBN 3-432-95391-7 .

This article is about a health issue. It is not used for self-diagnosis and does not replace a diagnosis by a doctor. Please note the information on health issues !