Creating Waves of Awareness
Strabismus and Homoeopathy
Dr. Rajneesh Kumar Sharma MD (Homoeopathy)
Dr. Swati Vishnoi BHMS
Dr. Preetika Lakhera BHMS
Dr. Mohammad Tayyab Daud BHMS
Dr. Mohammad Tayyab Amir BHMS
For well formatted and illustrated article, please see attached file-
Normal vision. 2
Subnormal vision. 3
Absence of Binocular Vision. 3
Signs and Symptoms 5
Large angle strabismus 5
Small angle strabismus 5
Intermittent or alternating Small angle strabismus 5
Constant and unilateral Small angle strabismus 5
Infantile strabismus 5
Incomitant strabismus 5
Concomitant strabismus 6
Corneal light-reflex test 6
Cover test 6
Uncover test 6
Corneal light reflex (Hirschberg) test 6
Strabismus Surgery 6
Non-Surgical Treatment 7
Homoeopathic treatment of strabismus 7
Common remedies for strabismus 7
Short repertory of strabismus 7
Strabismus or squint is a condition in which both the eyes fail to focus on a particular object simultaneously resulting in cross-eye and cosmetic defect. (Psora/ Sycosis/ Syphilis)
In strabismus, one eye looks directly at the object, while the other eye is misaligned inward, outward, upward or downward. To learn its mechanism, the following points must be clear in mind-
Each eye has six extraocular muscles that control eye position and movement. For normal binocular vision, the position, neurological control and functioning of these muscles for both eyes must be coordinated perfectly.
Strabismus occurs when there are neurological or anatomical problems that interfere with the control and function of the extraocular muscles (Psora). The problem may originate in the muscles themselves, or in the nerves or vision centers in the brain that control binocular vision.
Genetics also may play a role. (Syphilis)
Vision must be binocular and normal. We can understand vision and visual disorders as below-
Bifoveolar fixation with normal visual acuity in each eye, no strabismus, no diplopia, normal retinal correspondence, normal fusional vergence amplitudes, normal stereopsis.
One or more of the following constitute the subnormal vision-
One or more of the following constitute the absence of binocular normal vision-
Binocular vision requires both eyes to work together to allow the slightly different images from both eyes to be fused together in the brain. The problem with the squinting eye is that it gives confusing information to the brain, resulting in a fuzzy or double image. The brain soon learns to suppress the image from the squinting eye and take information only from the stronger eye. (Psora)
If suppression is allowed to continue, the loss of vision in the squinting eye eventually becomes permanent and a condition known as amblyopia or lazy eye develops. (Psora/ Sycosis/ Syphilis)
There are certain types of strabismus, which can be classified as below-
Strong sign is a visible misalignment of the eyes, with one eye turning in, out, up, down or at an oblique angle. Both large-angle and small-angle strabismus can be psychologically destructive as it restricts with normal eye contact with others, often causing embarrassment and awkwardness.
Constant large-angle strabismus is asymptomatic because there is virtually no attempt by the brain to straighten the eyes but it causes severe amblyopia in the turned eye if left untreated.
It causes troublesome visual symptoms including-
It can lead to significant amblyopia in the misaligned eye.
Newborns often have intermittent crossed eyes due to incomplete vision development. This frequently vanishes with growth and the visual system continues to mature.
Most types of strabismus do not go even with growth of child.
Eye movements help differentiate the following-
the angle of deviation would differ in different directions of gaze.
the angle of deviation is the same regardless of the direction of gaze.
a pen torch is held at a distance that causes a reflection of light to fall upon the corneas. The position of the reflections should be in the centre of each pupil. If not, a squint may be present.
the patient should be looking at a target. One eye is covered with an occluder. The uncovered eye is observed. If the uncovered eye moves to look at the target (i.e. takes up fixation), a manifest squint is present in that eye.
one eye is covered and that eye is observed to check if it moves (to take up fixation) on removal of the cover. This would indicate a latent squint in that eye.
These and other tests for squint can be difficult to interpret and are best performed by orthoptists in the setting of paediatric ophthalmology clinics.
A screening test for strabismus that evaluates eye alignment based on the location of reflections of light shined at the eyes.
An effective treatment for a constant eye turn is strabismus surgery. The success of strabismus surgery depends on many factors, including the direction and magnitude of the eye turn. In some cases, more than one surgery may be required.
In intermittent and small-angle strabismus, vision therapy may improve eye alignment.
From overall study of strabismus, it becomes clear that it is not simply a disorder of local factors, but whole genetics and constitutional disharmony is there. The person as a whole is affected by the factors causing strabismus; and later on, by the effects of established strabismus on that individual, physically as well as mentally. Thus, whole person needs treatment rather than a local eye.
Well selected constitutional remedy almost always cures the condition permanently if applied as per laws of similia.
acon. aeth. Agar. Alum. alumn. androc. ant-t. APIS apoc. Arg-n. arn. ars. art-v. BELL. ben-d. ben-n. benz-ac. bufo buth-a. calc-p. Calc. Camph. cann-i. cann-s. cann-xyz. Canth. carb-an. carb-v. caust. Chel. chin. Chinin-s. CIC. Cina Coloc. Con. cupr-act. cupr. CYCL. Dig. ery-a. esin. Gels. graph. hell. Hyos. Jab. kali-bi. kali-br. Kali-i. kali-p. lac-loxod-a. lil-t. Lyc. lyss. Mag-p. meny. Merc-c. merc-i-f. Merc. morph-s. morph. nat-ar. nat-c. NAT-M. nat-p. nat-sal. Nux-m. Nux-v. olnd. op. oxyurn-sc. phos. phys. pin-s. plb. podo. psor. puls. rhod. rhus-t. ruta Santin. sapin. scor. sec. SENEG. sil. spig-m. Spig. staph. Stram. sulph. Syph. Tab. tanac. tarent. teucr. thal-xyz. thuj. tub. verat-v. verat. Zinc.
EYE - STRABISMUS - accompanied by - menses – irregular cycl.
EYE - STRABISMUS - accompanied by - worms; complaints of bell. cina cycl. hyos. merc. Santin. spig.
EYE - STRABISMUS - brain disease – after kali-p.
EYE - STRABISMUS – congenital Syph.
EYE - STRABISMUS – convergent alum. art-v. calc. Camph. carb-v. chel. CIC. cina CYCL. jab. lil-t. Lyc. mag-p. nux-v. op. spig. syph.
EYE - STRABISMUS - convulsions – after cycl.
EYE - STRABISMUS - convulsions – during stram.
EYE - STRABISMUS - dentition; during alum. gels. hell. stram. tub.
EYE - STRABISMUS - diarrhea; from suppressed podo. stram.
EYE - STRABISMUS – divergent Agar. alum. Camph. Coloc. Con. dig. graph. hyos. Jab. lil-t. merc-i-f. morph-s. morph. NAT-M. nat-sal. oxyurn-sc. phos. rhod. ruta seneg. spig. sulph. syph. tab. zinc.
EYE - STRABISMUS - emotions agg. Cic. Nux-m. stram.
EYE - STRABISMUS - epilepsy, during paroxysms bell. Cic. hyos. tarent.
EYE - STRABISMUS - fear; from Cic. Nux-m. stram.
EYE - STRABISMUS - fever; during Apis
EYE - STRABISMUS - injuries; after cic.
EYE - STRABISMUS - left turned in Calc. Cycl.
EYE - STRABISMUS - measles; after cycl.
EYE - STRABISMUS – night spig-m. spig. teucr.
EYE - STRABISMUS - one eye amel; looking with kali-bi.
EYE - STRABISMUS - operation; after jab.
EYE - STRABISMUS – painless buth-a.
EYE - STRABISMUS - periodical - day – alternate Chinin-s.
EYE - STRABISMUS - periodical - injuries; after cic.
EYE - STRABISMUS – periodical chin. Chinin-s. CIC. jab. Nux-v. thuj.
EYE - STRABISMUS - reading agg. tab.
EYE - STRABISMUS - right turned in alumn.
EYE - STRABISMUS - sensation of bell. calc. Con. meny. nat-m. op. podo. puls.
EYE - STRABISMUS - touch agg. cic.
EYE - STRABISMUS – upward benz-ac. jab.
EYE – STRABISMUS acon. aeth. agar. Alum. alumn. androc. ant-t. APIS apoc. Arg-n. arn. ars. BELL. ben-d. ben-n. bufo calc-p. Calc. cann-i. cann-s. cann-xyz. Canth. carb-an. caust. Chel. Chinin-s. CIC. Cina Con. cupr-act. cupr. CYCL. Dig. ery-a. esin. Gels. Hell. Hyos. jab. kali-bi. Kali-br. Kali-i. kali-p. lac-loxod-a. Lyc. lyss. Mag-p. meny. Merc-c. Merc. morph. nat-ar. nat-c. Nat-m. nat-p. nat-sal. Nux-v. olnd. op. oxyurn-sc. phys. pin-s. plb. podo. psor. puls. rhus-t. ruta Santin. sapin. scor. sec. SENEG. sil. Spig. staph. Stram. sulph. syph. Tab. tanac. thal-xyz. thuj. tub. verat-v. verat. Zinc.
GENERALS - CHOREA - strabismus, with Stram.
HEAD - BRAIN; complaints of - accompanied by – strabismus stram.
HEAD - INFLAMMATION - Meninges - accompanied by – strabismus tub.
HEAD - PAIN - Temples - pressing pain - drawing in eyes, as from strabismus podo.
MIND - FEAR - terror - night - followed by strabismus - children; in kali-br.
MIND - IRRITABILITY - worm affections; in - followed by – squinting nat-p.
Chapter 12. Strabismus > Esotropia (Convergent Strabismus, “Crossed Eyes”) Vaughan & Asbury's General Ophthalmology, 18e ... Esotropia is by far the most common type of strabismus. It is divided into two types: paretic (due to paresis or paralysis of one or both lateral rectus muscles) and nonparetic (comitant). Nonparetic esotropia is the most common type in infants and children; it may be accommodative...
Chapter 12. Strabismus > Exotropia (Divergent Strabismus) Vaughan & Asbury's General Ophthalmology, 18e... Exotropia is less common than esotropia, particularly in infancy and childhood. Its incidence increases gradually with age. Not infrequently, a tendency to divergent strabismus beginning as exophoria progresses to intermittent exotropia and finally to constant exotropia if no treatment...
Chapter 13. Disturbances of Vision > Amblyopia Because of Early Life Strabismus (Amblyopia Ex Anopsia) Adams & Victor's Principles of Neurology, 10e... and disuse of the fovea may be the result of a number of processes, most often misaligned ocular axes (strabismus) and also including unequal refractive errors (anisometropia; discussed in Chap. 14 ). These conditions are the most common sources of visual disturbance in children. The uncorrected condition...
Chapter 14. Disorders of Ocular Movement and Pupillary Function > Pediatric Nonparalytic Strabismus Adams & Victor's Principles of Neurology, 10e... It is in this sense that the unqualified term strabismus is often used. The normal slight exotropia of neonates corrects by about 3 months of age. Large malalignments (greater than 15 degrees) are considered abnormal, even at birth. Most children with developmental esotropic strabismus present...
Chapter 48. Diseases of Muscle > Ocular Palsies Presenting as Ptosis, Diplopia, and Strabismus Adams & Victor's Principles of Neurology, 10e
Disorders of the Eye > STEREOPSIS Harrison's Principles of Internal Medicine... of stereoacuity, one is assured that the eyes are aligned orthotropically and that vision is intact in each eye. Random dot stereograms have no monocular depth cues and provide an excellent screening test for strabismus and amblyopia in children. ...
Eye Emergencies in Infants and Children > STRABISMUS AND AMBLYOPIA Tintinalli’s Emergency Medicine: A Comprehensive Study Guide, 8e... Strabismus is ocular misalignment. Knowledge of preexisting strabismus helps differentiate between congenital/childhood strabismus and acquired emergent causes of strabismus. Terminology used to describe strabismus is listed in Table 119-1 . Normal newborns may have transient misalignment...
The Eye & Ocular Adnexa > Strabismus CURRENT Diagnosis & Treatment: Surgery, 14e... Strabismus results from misalignment of the eyes due to muscle imbalance. Ocular deviations may be lateral (exotropia), medial (esotropia), upward (hypertropia), or downward (hypotropia). Binocular diplopia is not a frequent complaint in congenital strabismus. Full ocular motility is intact...
The Nervous System > Comitant strabismus (nonparalytic heterophoria)—constant squint angle DeGowin’s Diagnostic Examination, 10e... The muscles are normal; the disorder probably results from abnormal innervation in the cranial nerve nuclei because the squint angle disappears during general anesthesia. The word comitant , when applied to strabismus, indicates that the angle between the two optic axes, the squint angle...
The Nervous System > Varying squint angle—noncomitant strabismus (paralytic heterotropia) DeGowin’s Diagnostic Examination, 10e... This is caused by paralysis of one or more eye muscles: ophthalmoplegia. The squint angle changes with the direction of fixation. As opposed to comitant strabismus, the motions of the paralyzed eye are limited. The head is moved to limit the action of the paralyzed muscle to avoid diplopia...