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Watch out for Squint when a child looks at things with his head tilted

When the head of the family finds that children like to tilt their heads to see things, we must pay attention to them. Be careful of strabismus. Some children with vertical strabismus do not have obvious external strabismus. The obvious sign is that they show compensatory head position and "crooked head".

Because when the child's head is in the upright position, the object he observes will appear "double shadow" phenomenon. In order to see clearly, the child will tilt his head, so that the objects in front of him will gather to a point, and the phenomenon of "double shadow" will disappear. Long term head tilt can lead to facial deformity (such as one side of the face is large and the other side is small), spine and bone deformation. Liu Hong, optometry and strabismus amblyopia, ophthalmology, otolaryngology hospital, Fudan University

Crooked head is also known as torticollis, this kind of torticollis caused by strabismus is called ocular torticollis, and another torticollis caused by abnormal neck muscles is called muscular torticollis. Ocular torticollis requires strabismus correction, and muscular torticollis requires neck surgery.

As a result of strabismus caused by the head, strabismus surgery, children will still tilt the head. Some parents wear orthosis to their children after torticollis surgery. Because the children can't overcome the "ghosting" by tilting their heads, the children will bend the whole body to overcome the "ghosting", resulting in the shoulder side being higher and the side lower. The author has seen many such children clinically.