Treatment of infantile strabismus with eye movement disorders

PURPOSE: Possibilities of application of localization method in the treatment of infantile strabismus in a very early period are presented. MATERIAL AND METHODS: The authors applied treatment with hypercorrective and compensating prisms in 17 children with infantile strabismus. The age of the children ranged from 0.5 to 5 years, mean age-1 year. All children were found to have no motility or limited motility of eyes toward the temples. Initially, the children's eyes were alternately occluded in prisms whose strength prevalently was 30-40 pr dptr before each eye, with base toward the temple. After 1-3 months motility of the eyes appeared. Next, glasses compensating the squint angle were worn, without covering the eyes, starting with 1/2 hour 3 times a day and gradually prolonging the wearing time. Hypercorrective prisms were further used with alternate occlusion of the eyes. RESULTS: In all children partial or complete correction of motility was achieved. Further treatment of strabismus followed the rules of the localization method.