The spontaneous cure of squint teaches us two important facts, firstly,
that the conditions of tension of the ocular muscles may change in the
course of time, and secondly, that normal binocular fusion of the
retinal images is not necessary for a correct position of the eyes;
neither the spontaneous nor the operative cure of squint presupposes the
presence or the restoration of a normal binocular fusion. If this were
the case the operation for squint would not be of much use.
Observation of these cases further teaches, that treatment with convex
glasses has prospects of success, particularly in periodic squint with
hypermetropia, if squint can disappear spontaneously even without
correction of the hypermetropia. At the same time, however, it appears
that we need not form hasty conclusions about it. Periodic squint
frequently arises during the earliest years of life, and everyone
(perhaps with the exception of a few ophthalmologists) will at once
reject the idea of allowing children of two to three years old to wear
spectacles; constant wearing of spectacles even by older children seems
to me not to be without risk as long as there is any chance of their
falling when running, playing, &c., in which case the eyes as well as
the spectacles would be in danger. As a rule I only order children to
wear convex spectacles when they are distinctly indicated, and then only
during sedentary occupations, when working and eating. Of course,
exceptions may be made according to the individuality of the child, and
the care with which it is looked after at home.
We are more rarely able to remove permanent convergent squint by means
of convex glasses than the periodic form; that it is possible, however,
I should like to show by an account of a patient, who offers, besides,
other interesting peculiarities.
Public-domain text, read in full here on John Shaqi.
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