Botox Strabismus In Dubai - Botox Strabismus Treatment Dubai

Strabismus Botox treatment is a non-surgical procedure that involves injecting Botulinum toxin. Botox has been a highly safe and effective method for managing conditions like blepharospasm and strabismus since 1971.
Botox begins to work on muscles after 1-2 days and has a maximum muscular weakening effect two weeks following treatment. After 4-5 months, the muscle usually regains its normal function. However, with repeated treatments, the impact can persist longer. Botox’s impact wears off over time because muscle cells create new receptors, restoring nerve-to-muscle signaling.
Adults and cooperative adolescents can undergo Botox treatment in a medical setting, using anesthetic drops to numb the eye. Once the eye is sedated, Botox can be injected straight into the eye muscle with a specific needle attached to an electromyogram (EMG). 
The patient moves the eye, causing the muscle to contract, and the EMG detects the signal from the contracting muscle, indicating that the needle is in the proper position. We inject a small amount of Botox (typically 0.2 ml) into the muscle and remove the needle after 35 seconds. This interval before removing the needle reduces the distribution of botox to nearby tissues.
Children undergo Botox treatment either under a general anesthetic or with a ketamine anesthetic. Under ketamine anesthesia, the ocular muscles remain active, allowing the EMG to pinpoint the muscle, just as in adult therapies. When using general anesthesia, the surgeon creates a small hole in the conjunctiva next to the muscle to guide the Botox injection. There is no need for stitches to close this little gap.

Strabismus treatment at Perfect Doctors Clinic varies according to the severity and type of misalignment, with options including Botulinum toxin therapy of strabismus, Botox injections, glasses, and surgical treatments.
Strabismus, also known as “crossed eyes” or “squint.” It is a vision impairment characterized by misaligned eyes. It appears as a condition in which one or both eyes have a regular or sporadic misalignment, leading one eye to look straight ahead. At the same time, the other deviates inward, outward, upward, or downward.
Strabismus treatment in adults corrects eye misalignment and improves vision without requiring surgery. Strabismus treatment in adults does not always have to be cosmetic. Botox for lazy eye in adults can also be an effective treatment. As previously said, it can cause debilitating double vision. Strabismus in adults is treatable, and there are numerous treatment options available. The severity of the strabismus typically determines treatment. Surgery to realign the eye muscles is the most effective treatment, with very positive cosmetic benefits and the potential to improve vision difficulties.

• Eye muscle realignment surgery
• Eyeglasses or contact lenses: This is intended for those with refractive defects.
• Prism lenses: Placing prisms in spectacles can help some people improve their strabismus. These special lenses help the eye by minimizing the amount of turning required to look at objects.
• Medications: Eyedrops or ointments. Additionally, injections might relax an overactive eye muscle. These treatments may be used with or without surgery, depending on disease severity.

Strabismus has a variety of symptoms, depending on the kind and severity of the problem. Typical symptoms of strabismus include:

• Misaligned eyes: The major sign of strabismus is a misalignment of one or both eyes. One eye can turn inward (esotropia), outward (exotropia), upward (hypertropia), or downward (hypotropia) while the other eye remains fixed on something.
• Double vision: When the eyes are misaligned, they can send contradictory visual signals to the brain, causing double vision (diplopia). The type of strabismus determines whether double vision is constant or intermittent.
• Eye fatigue: Strabismus can cause eye strain, weariness, and pain, especially in the misaligned eye. This might cause headaches, eye pain, or soreness around the eyes.
• Difficulty with depth perception: Misaligned eyes can impair the brain’s capacity to generate a single, three-dimensional vision from the input of both eyes. As a result, people with strabismus may struggle to judge depth and spatial relationships.
• Amblyopia (lazy eye): To avoid dual vision, the brain may hide or reject images from mismatched eyes. This can cause amblyopia, also known as “lazy eye.” If not treated early in childhood, amblyopia can lead to impaired vision in the affected eye.
• Abnormal head posture (torticollis): Some people with strabismus may adopt an unorthodox head position to compensate for their misaligned eyes. Torticollis is an attempt at organizing the eyes to minimize double vision.
• Reduced visual acuity: In cases of untreated strabismus, the visual quality of the misaligned eye may deteriorate with time, resulting in impaired visual function in the affected eye.
• Difficulty with activities that need focused vision: People with strabismus may struggle with tasks requiring fine visual coordination, such as reading, writing, sketching, and athletics.

Strabismus symptoms include the obvious symptom of the misaligned eye or eyes. Adult patients with newly beginning strabismus typically experience visual issues like double vision or depth perception, unlike a recurrence of a residual childhood condition. Other problems for individuals with eye misalignment include dealing with psychological/social factors that can limit social interaction, self-confidence, and job chances. Dr. Perfect at the Perfect Doctors Clinic in Dubai has extensive expertise and experience treating adult strabismus, ensuring your case is in capable hands.

Strabismus can be caused by a variety of factors that vary from person to person. Here are some of the common factors and causes of strabismus.

• Muscular imbalance: An imbalance in the muscles that control eye movement is the main cause of strabismus. Misalignment can occur if the eye muscles don’t work properly or are weaker or stronger.
• Neurological Factors: Problems with the brain or nerves that control eye movement can also cause strabismus. Strokes, tumors, and neurological illnesses can alter the signals that coordinate eye movement.
• Genetic Factors: Evidence indicates that a genetic predisposition may play a role in the development of strabismus. A family history of strabismus may increase the likelihood of developing the illness.
• Refractive Error: unchecked refractive problems such as myopia, hyperopia, and astigmatism can cause eye strain that leads to strabismus, especially if left unchecked.
• Childhood Factors: Strabismus can develop in children for a variety of reasons, including premature birth, low birth weight, and developmental difficulties. It may also be linked to other eye diseases such as congenital cataracts or retinopathy of prematurity.

• Medical Conditions: Certain medical diseases, such as Down syndrome and cerebral palsy, are linked to an increased incidence of strabismus.
• Eye Injury or Trauma: Trauma to the eye or head injuries can impair the ocular muscles or nerves that control eye movement, resulting in strabismus.
• Systemic Illnesses: Certain systemic illnesses, such as thyroid problems, can impair eye muscle function and contribute to strabismus.

Strabismus is caused by the breakdown of this complicated mechanism. Under normal conditions, both eyes emphasize the same object, allowing the brain to combine the two distinct views from each eye into a single image. This harmonic synchronization is based on a complicated mechanism that transfers signals from the brain to the extraocular muscles.
Strabismus has several forms depending on the direction of the eye misalignment, which can be horizontal, vertical, torsional, or a mix of the two. This misalignment may affect only one eye or alternate between the eyes, allowing either eye to deviate at various periods. The degree of departure varies and can be either constant or intermittent, happening largely when a person is fatigued, unwell, or distracted.
Strabismus can also develop at any stage of life, being classified as congenital if it appears before seven months of age, acquired in childhood if it appears between the ages of three and four, or adult-onset if it occurs in adulthood.

The types of strabismus are categorized according to the direction of ocular misalignment, with the primary types including:

• Esotropia: In esotropia, one eye deviates inward toward the nose while the other remains aligned or fixated on the target. This condition is referred to as “cross-eyed” strabismus.
• Exotropia: Exotropia is the antithesis of esotropia. In this condition, one eye deviates outward from the nose while the other eye remains properly aligned. Exotropia is commonly known as “wall-eyed” strabismus.
• Hypertropia: When fixating on an object, one eye elevates concerning the other. This form of strabismus entails vertical misalignment.
• Hypotropia: Hypotropia is the antithesis of hypertropia. This condition causes one eye to fixate on an object lower than the other, leading to a vertical misalignment.
• Alternating Strabismus: In alternating strabismus, either eye may deviate, indicating that the misalignment alternates between the two eyes at distinct intervals. This condition may manifest as either esotropia or exotropia.
• Intermittent Strabismus: Intermittent strabismus manifests sporadically, with the eye(s) alternating between correct alignment and misalignment. It may become more apparent when an individual is fatigued or under stress.
• Concurrent Strabismus: Concomitant strabismus is defined by a stable angle of deviation, irrespective of the gaze direction of the eyes. The mismatch is consistent across all gaze locations.
• Accommodative Esotropia: This form of strabismus is frequently linked to hyperopia. The eyes may converge when attempting to concentrate on proximal objects, such as while reading or engaging in other near tasks.
• Non-Accommodative Esotropia: Non-accommodative esotropia manifests independently of accommodation (focusing). It frequently manifests in early childhood and may not be associated with refractive defects.
• Duane Syndrome: A rare kind of strabismus distinguished by restricted horizontal ocular movement. It is generally congenital and entails the retraction of the eyeball during attempts at lateral movement.

Strabismus is diagnosed by employing a thorough and patient-focused methodology, integrating advanced diagnostic technology with the proficiency of skilled eye care professionals.
The diagnosis of strabismus often involves the following steps:

• Preliminary evaluation and patient medical history: The diagnostic process commences with a comprehensive evaluation of the patient’s medical history. This includes the examination of symptoms related to ocular misalignment, familial predisposition to strabismus, and any pertinent medical problems or interventions.
• Assessment of visual acuity: The Visual Acuity test assesses the clarity of vision in each eye and detects any underlying refractive problems, including myopia, hyperopia, or astigmatism.
• Cover-uncover examination: The cover-uncover test is essential for identifying strabismus. The examination instructs the patient to focus on a specific target, occlude one eye, and then reveal it. The ophthalmologist examines ocular motility to identify any misalignment. This examination aids in evaluating the classification and severity of strabismus.

• Examination of ocular motility: Specialists meticulously analyze the patient’s ocular motions. This entails assessing the efficacy of ocular movement in various directions and determining if there are any limitations or restrictions in eye mobility.
• Prism cover examination: A prism cover test may be conducted to measure the extent of ocular misalignment. Specialized prisms are employed to quantify the angle of deviation and facilitate precise assessment of strabismus severity.
• Refraction: Refraction testing is used to ascertain whether refractive errors are a contributing factor to strabismus. Eyeglass prescriptions can be issued to rectify any refractive anomalies if necessary.
• Pupil dilation: In specific circumstances, the ophthalmologist may advise the dilation of the patient’s pupils with the application of eye drops. This facilitates a comprehensive assessment of the eye’s internal anatomy and aids in excluding underlying ocular diseases.
• Comprehensive ocular assessment: Dr. Perfect’s thorough eye examinations may involve evaluating the health of ocular structures, such as the retina, optic nerve, and other essential components. This assessment guarantees a comprehensive comprehension of the patient’s ocular health.
• Specialized assessment: Depending on the specific case, we may perform specialized assessments, such as visual field testing, electroretinography (ERG), or other sophisticated diagnostic techniques to obtain further information.

Book your appointment at Perfect Doctors Clinic today, for an early diagnosis and treatments, particularly in children. They are critical for maximizing the likelihood of achieving the most effective results and avoiding problems such as amblyopia. If you or someone you know has strabismus symptoms, please contact one of our specialist ophthalmologists at Perfect Doctors Clinic in Dubai, Jumeirah Abu Dhabi.

No, strabismus cannot be prevented. However, if you suspect a vision problem, you can ensure early detection of any eye ailment by seeking medical attention.

Strabismus itself does not lead to blindness. But when left undiscovered and untreated, it has the potential to cause irreversible vision impairment, possibly resulting in blindness.

Strabismus surgery in adulthood can significantly improve your vision, eye alignment and overall quality of life.

Yes, strabismus can be a genetic condition. While the particular cause is unknown in most cases, hereditary/genetic factors play an important part in its development. Several studies show that people with a family history of strabismus have a fourfold higher chance of inheriting the disorder.

Our specialized Botox Strabismus doctors at Perfect Doctors Clinic are highly qualified experts in their professions, known for providing honest counsel and customized care to their patients.

Adult Strabismus is a term used to describe misaligned eyes in adulthood. It is a common disorder in which the eyes do not function together to properly track or concentrate on an object. Strabismus causes one of the eyes to turn in, out, up, or down instead of concentrating ahead. While it is typically associated with children, adults can also experience it. Botox for cross eyes is one of the treatment options available to help manage this condition.
Strabismus in adults refers to a condition where the eyes do not align correctly or move together. Although often associated with childhood, it can also affect adults, typically developing later in life due to an underlying issue. Unlike childhood cases, adult strabismus is usually caused by factors such as neurological disorders, trauma, or other medical conditions, highlighting the importance of proper diagnosis and treatment.

Adult strabismus is caused by abnormalities in the nerves or muscles that control eye movement and its relationship to the brain, though the exact origin is unknown. Factors that contribute to adult strabismus include:

• Recurrence of childhood strabismus
• Unfixed childhood strabismus.
• Thyroid eye diseases
• Specific neurological conditions
• Diabetes
• Stroke is the primary cause of strabismus in adults
• Trauma
• Tumor

Symptoms of adult strabismus include:

• Visual confusion: This is the process of superimposing two different photos on top of one another.
• Diplopia (or double vision): Seeing two representations of the same item rather than one.
• Image Jump: This is when the image’s field of view changes dramatically as the focus shifts from one eye to the other.
• Abnormal Head Posture: Adults with strabismus frequently tilt their heads to compensate for their double vision. Over time, the neck muscles might shorten and tighten, affecting the person’s head range of motion or posture.

Strabismus is characterized by a noticeable turning of the eyes.

Adult strabismus can be diagnosed through a comprehensive evaluation by an ophthalmologist. Although symptoms of adult strabismus are common, an in-depth physical exam by an ophthalmologist is still required to identify the problem.

Adult strabismus can be treated in a variety of ways, depending on the origin and severity. These include:

• Orthoptics (eye exercise)
• Using a prism in eyeglasses to correct double vision
• Injections of botulinum toxins
• Surgery

Adult strabismus surgery aims to enhance eye alignment, eliminate double vision, and correct an aberrant head posture. Adult strabismus eye surgery entails shifting or tightening one or more of the external eye muscles that move the eye.
There are two forms of adult strabismus surgery: adjustable and non-adjustable.
Non-adjustable surgery
Depending on the number of muscles that require surgery, this procedure usually takes an hour to complete under general anesthesia.
Adjustable surgery
Certain kinds of adult strabismus can be treated more effectively with adjustable sutures. These include people with adult strabismus caused by thyroid eye problems or injury, as well as those who have previously undergone strabismus surgery. Botox for cross-eyed can also be an option for treatment.
The major procedure is performed under general anesthesia. Once the primary operation is complete and the patient has woken up, the final adjustment takes place. It entails administering a few drops of anesthetic to numb the eye and altering the final position of the muscles. The procedure takes place while the patient is awake, allowing them to see the target. During the procedure, the patient may feel little pressure in the eye.
This type of surgery is typically used to treat double vision.
After the surgery, you will receive post-operative instructions such as:

• Use recommended eye drops.
• Use of painkillers
• Clean the stickiness of the eyes with cooled, boiled water and cotton wool.
• For the first two weeks, avoid allowing water to enter the eyes.
• Do not rub your eyes.
• Refrain from wearing contact lenses until cleared by your doctor
• Avoid swimming for 3 weeks.
• Continue to wear glasses if you have them
• Attend post-operative clinic appointments

To schedule an appointment, contact us. 

Adult strabismus is caused by either residual childhood strabismus or a fresh development in maturity. Strabismus that develops suddenly is usually caused by a problem with the neuromuscular control of the eye. Numerous conditions, including the following, are associated with adult strabismus:

• Strokes are the primary cause of strabismus in adults.
• Neurological difficulties
• Injury to the head
• Thyroid dysfunction
• Aging
• Down syndrome
• Brain Tumors
• Cerebral Palsy

Dr. Perfect is a well-known strabismus or squint specialist in Dubai. He has performed over 499 strabismus surgeries for children and adults. He is also known for his innovative non-surgical squint therapy, which has had outstanding outcomes.

The best age for squint surgery varies according to individual conditions. Pediatric patients frequently get surgery between the ages of 7 months and 24 months to correct misalignments and prevent vision development difficulties. Squint surgery, on the other hand, can be conducted at any age, and has been successful in both children and adults.

Squint surgery can be quite worth it for people who have mismatched eyes. This technique is intended to rectify the alignment and improve binocular vision. It can improve looks, depth perception, and overall quality of life.

Squint surgery can be corrected in 29 years of age or even later. Recent developments in surgical techniques and technologies allow for the efficient treatment of misaligned eyes. Squint surgery can enhance eye alignment and binocular vision in patients of all ages.

Squints can comeback after surgery; however, this is rare. Success depends on a variety of factors, including the type of misalignment and individual healing reactions. Close post-operative surveillance and attention to follow-up sessions are critical for detecting and treating any potential recurrences as soon as possible.

Strabismus is a condition in which the eyes are misaligned and not pointing in the exact same direction.

Botox work for strabismus by temporarily relaxing the muscles that cause misalignment, enabling the eyes to realign, and alleviating symptoms such as double vision.

No, Botox is not a permanent solution for strabismus. Its results are temporary, lasting 4 to 7 months, after which more treatments can be required to keep the eyes aligned.

The Botox injection for strabismus is administered directly into the misaligned eye muscles. The technique is minimally invasive and usually performed in a doctor’s office. A thin needle is used to inject small doses of Botox to temporarily relax the targeted muscles and assist in realigning the eyes.

The Botox injection for strabismus is generally not painful. It is usually brief and causes little discomfort, sometimes described as a mild pinch.

The potential side effects of Botox for strabismus include:

• Transient eyelid drooping
• Double vision
• Bruising
• Slight discomfort at the injection site

The effects of Botox for strabismus usually last 4 to 7 months, after which further treatments may be required.

Botox can be used for most types of strabismus; however, its efficacy depends on the ailment and its cause.

You will notice improvements after receiving Botox injections for strabismus after 7 to 14 days as the eye muscles relax and realign.

Botox treatment for strabismus may be covered by insurance if determined to be medically necessary; however, coverage varies by insurance company and policy.

Yes, Botox can be combined with other treatments for strabismus, including glasses, vision therapy, or surgery, depending on the severity and nature of the condition.

The number of Botox injections needed to treat strabismus differs depending on the level of severity and type of misalignment.

Yes, Botox injections for strabismus can be repeated over time, usually every 4 to 7 months, to maintain eye alignment.

Benefits of Botox Strabismus include:

• Nonsurgical: Offers a minimally invasive treatment for eye misalignment.
• Temporary relief: Provides a temporary realignment, usually lasting 3 to 6 months.
• Quick procedure: Usually accomplished in a brief office visit with little downtime.
• Improves vision: Reduces double vision and enhances depth awareness.
• Minor discomfort: The pain is minor, often described as a faint pinch.
• Low risk: There are a few adverse effects, the majority of which are short and minor.

Risks of Botox Strabismus include:

• Eyelid drooping: In certain cases, the eyelid droops temporarily.
• Double vision: Some individuals may suffer double vision following an injection.
• Temporary vision changes: Vision changes can develop but usually resolve within a few weeks.
• Infection: There is a low risk of infection at the injection site.
• Allergic reactions: There may be rare allergic reactions, such as swelling or redness.

The risks and complications associated with Botox for strabismus are mentioned above. Despite the temporary nature of these symptoms, a healthcare provider must monitor them closely.

Any male or female could be a good candidate for Botox Strabismus or Botox Strabismus Treatment who has mild to moderate eye misalignment, especially if alternative treatments such as glasses or surgery are not appropriate or preferred.
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Common Botox Strabismus treatment areas include:

• Botox Strabismus for medial rectus muscles: To correct inward eye misalignment (esotropia).
• Botox Strabismus for lateral rectus muscles: To rectify outward eye misalignment (exotropia).
• Botox Strabismus for superior rectus and inferior rectus muscles: To treat vertical strabismus, which is defined as one eye being higher or lower.
• Botox Strabismus for superior oblique muscles: For difficulties with eye rotation or tilt.

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