What should I do if my black eyeballs are slightly tilted inwards

The normal black pupil should be in the middle of the eye. A slightly inward deviation of the black pupil is a typical symptom of strabismus. There are many factors that cause it. Some people have congenital strabismus, while others may be directly related to trauma, disease, etc. If the pupil is slightly deviated inward, it must be corrected, and the method is what the patient is most concerned about. So, what should I do if my eyeballs are a little tilted inward? Let’s take a look below.

Strabismus refers to the inability of both eyes to focus on the target at the same time. It is an extraocular muscle disease and can be divided into two categories: concomitant strabismus and paralytic strabismus. The main clinical features of concomitant strabismus are the absence of eye movement disorders and equal strabismus in the primary and secondary eye positions; while paralytic strabismus is characterized by restricted eye movement and diplopia, which can be congenital or caused by trauma or systemic diseases.

Causes

1. Regulation theory

The regulating function of the eye and its collecting function are interrelated. Certain adjustments bring about corresponding collections. Often due to the excessive accommodation-convergence reflex, the effect of the medial rectus muscle tends to exceed that of the lateral rectus muscle, resulting in concomitant esotropia. Myopic eyes use little or no adjustment when looking at close targets, and their convergence force is weakened at the same time, so the tension of their medial rectus muscle is reduced, sometimes forming concomitant exotropia.

2. Binocular reflex theory

Binocular single vision is a conditioned reflex that is accomplished through fusion function and is acquired after birth. If the vision of the two eyes is different during the formation of this conditioned reflex, and the vision of one eye is affected by obvious sensory or motor disorders, which hinders the single vision of the binocular vision, a state of eye separation, namely strabismus, will occur.

3. Anatomical theory

Overdevelopment or underdevelopment of a certain extraocular muscle, abnormal attachment points of the extraocular muscles, abnormal development of the orbit, and abnormal structure of the intraorbital fascia can all lead to muscle imbalance and cause strabismus.

4. Genetic theory

Clinically, it is common to see many people in the same family suffering from common strabismus, which may be related to genetic factors.

treat

1. Non-surgical treatment

The treatment of strabismus first targets amblyopia to promote the development of good vision in both eyes, and secondly corrects the deviated eye position. Treatments for strabismus include: wearing glasses, wearing an eye patch, and orthoptic training. Wearing an eye patch is the main method for treating amblyopia caused by strabismus. Eye muscle surgery involves relaxing (weakening) or shortening (strengthening) one or more of the extraocular muscles in one or both eyes. Mild strabismus can be corrected by wearing prisms. Orthoptic training can be used as a supplement before and after surgery.

2. Surgery

The younger the age at which strabismus is treated, the better the treatment effect. Strabismus surgery is not only to correct eye position and improve appearance, but more importantly to establish binocular vision function. The best time for surgery is before 6 to 7 years old. Binocular vision training is performed after surgery to enhance and maintain stable stereoscopic vision function.