Pattern one
Three opinions, no measurements
Consultations at several practices, three different recommendations, and no written angle or sensory data from any of them. The first useful step is one documented baseline everyone can argue from.
Squint and Strabismus · Delhi Telehealth
Squint Assessment for Delhi Families
Squint Assessment for Delhi Families
Before You Decide About Surgery
For a large constant deviation, surgery is usually the right answer and we will say so. For a small or intermittent one it often is not, and families are rarely given the measurements that separate the two. We provide an independent, documented strabismus assessment by secure telehealth, and we write to your treating clinician with what we find.
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Making the Decision Properly
Three Numbers That Should Precede Any Surgical Conversation
A squint consultation that ends in a surgical recommendation without these three figures on paper has skipped the step that tells you whether the recommendation is the only reasonable one.
The first is the angle of deviation, in prism dioptres, at distance and at near. Angles that differ substantially between the two distances point to different underlying mechanisms and sometimes to different operations. The second is whether the deviation is constant or intermittent and, if intermittent, how the control is graded.
The third is the sensory status: is one eye suppressed, and is there any measurable stereopsis. This is the one most often missing, and it is the one that predicts what a successful operation will actually deliver. A patient with residual fusion potential and one with dense long-standing suppression can have the same angle and very different realistic outcomes.
What to Take to the Next Appointment
Ask for the angle at distance and near in prism dioptres, the control grading, and the stereoacuity in seconds of arc. Any thorough assessment produces all three. Having them written down makes a second opinion faster, cheaper and considerably more useful — including one from us.
How the Programme Is Run
Running Strabismus Care From a Delhi Home
A documented telehealth assessment, then either a therapy programme or a written referral with our measurements attached.
01
Establishing the numbers
The deviation measured in prism dioptres at distance and near, the control graded, fixation and stereoacuity recorded. You receive the numbers in writing, which makes a surgical second opinion a comparison rather than a fresh start.
02
Correcting the optics
The cycloplegic correction confirmed and coordinated, with a settling interval. Where accommodation is driving an inward turn, this phase alone can change the entire clinical picture.
03
The therapy itself
Fusion range built progressively, with anti-suppression work where the deviating eye is being ignored, delivered as short specified daily practice rather than general exercises.
04
Measuring the change
Remeasurement at session eight against baseline. Control is the figure that moves first, so it is the one we hold the programme to.
Worth a Second Look
When a Delhi Family Should Get an Independent Assessment
01
Surgery has been recommended and you have not been shown the angle measurement it is based on.
02
Two clinicians have given different advice about whether to operate, and neither has provided written sensory testing.
03
The deviation is intermittent, the child controls it most of the time, and the plan offered was surgical.
04
Glasses were prescribed and clearly reduce the turn, but the residual angle has not been remeasured on the correction.
05
An operation has already been done, the appearance is good, and no one has checked whether the eyes are working as a pair.
A second opinion is not a challenge to your clinician. It is a normal part of a decision this size, and most surgeons expect it.
Delhi and the NCR
Why Delhi Families Ask for a Second Reading
The NCR has a dense supply of eye care and a correspondingly wide spread of advice. What is often missing is not expertise but a comparable set of numbers to weigh it against.
Pattern two
The intermittent turn offered surgery
A child with reasonable control most of the day. Surgery may still be right, but where fusion potential is good, a therapy trial before committing is a defensible and often cheaper first move.
Pattern three
The post-operative family with no follow-through
Appearance corrected, everyone satisfied, sensory function never assessed. Where fusion potential remains, the first post-operative year is when it is most recoverable.
How sessions run
Secure video sessions from home, which removes a cross-city journey that routinely costs two hours for a twenty-minute appointment. Alignment is assessed by cover testing against a calibrated target on video, and the deviation itself is confirmed against a prism measurement.
Typical schedule
Weekly sessions with daily fusion work, and a control grading rechecked monthly because control shifts considerably faster than acuity does. Evening and weekend slots are held back for working parents.
The measurement to ask for locally
The deviation in prism dioptres at distance and near, with a control grading. A surgical opinion, where one is relevant, stays with your ophthalmologist. A single local appointment settles it.
Second-opinion enquiries reach us from
- South Delhi
- Saket
- Vasant Kunj
- Dwarka
- Rohini
- Pitampura
- Janakpuri
- Mayur Vihar
- Karol Bagh
We do not perform surgery and we have no financial interest in whether you have one. Where an operation is indicated we say so and refer, with our measurements.
Common Questions
Squint and Strabismus in Delhi: What Parents Ask Us
Can you assess a squint properly over video?
Partly, and we are precise about the boundary. Cover testing with calibrated targets, control grading, suppression testing and stereoacuity can all be done remotely with the equipment we post to you and a parent following instructions on camera. What cannot be done remotely is a fine prism cover test in eccentric gaze positions, cycloplegic refraction, or any examination of the eye itself. Where those are needed we name them specifically so a single local appointment covers them, and we interpret the results with you afterwards.
Our surgeon is very well regarded. Is a second opinion going to cause offence?
It should not, and in our experience it does not. We send our measurements directly to the treating clinician in clinical language, and the message is a set of numbers rather than a recommendation about their decision. Surgeons generally welcome sensory data they did not have. If a clinician reacts badly to a documented second reading of the same patient, that is worth knowing too.
If we do therapy first and it does not work, have we wasted six months of the child’s development?
That is exactly the right question to ask, and the answer depends on age and angle. In a young child with a large constant deviation, delay does have a real cost and we would not recommend a therapy trial. In an older child with an intermittent deviation and reasonable control, six months is not a critical window and a trial is low risk. We set a decision point in advance — a specific measurement at a specific session — so that a trial cannot quietly turn into indefinite postponement.
Can glasses alone straighten an inward turn?
In one specific and fairly common situation, yes, completely. Accommodative esotropia occurs when a child is significantly long-sighted and the focusing effort required to see clearly drags the eyes inward. Full cycloplegic correction removes the focusing demand and the eyes straighten, sometimes immediately. This is why a cycloplegic refraction must precede any discussion of surgery in a child with an inward turn: a proportion of these cases need spectacles and nothing else.
What is control grading and why does it matter more than the angle?
Control grading records how well fusion is maintained: whether the deviation is manifest spontaneously, appears only after the eyes are dissociated, and how quickly alignment recovers. It matters more than the raw angle because it tracks function rather than anatomy. Two children with an identical measured angle can have entirely different visual experience, and control is the variable that separates them. It is also the number that moves first when therapy is working.
Telehealth Nationwide · Clinics in the South
Squint Treatment Beyond Delhi
Assessment delivered to Delhi by secure telehealth — in-person prism testing available at our Chennai and Hyderabad clinics.
Telehealth · Delhi NCR
A Surgical Decision Deserves the Sensory Numbers, Not Just the Angle
One documented telehealth assessment gives you the angle at both distances, the control grading and the stereoacuity, in writing, to take to whichever clinician you choose.