Best Squint Specialist in Pakistan | Prof. Dr. Mubashar Jalis
Prof.Dr.Mubashar Jalis is the world renowned Best Squint Specialist in Pakistan for peads and adults as well. He is M.B.B.S / FCPS doctor for pediatric & adult squint / strabismus. After doing FCPS & Ophthalmology he did fellowships in pediatric ophthalmology and strabismus from Pakistan & USA. Dr. Jalis has remained visiting strabismus consultant for Makkah Eye Hospital for many years for teaching and trainging purpose in Khartoom Sudan. For last two years he was president Association of Pediatric Ophthalmology of Pakistan (APOP). He has vast experience in dealing with all types complex strabismus & Amblyopia (Lazy Eye) Management.
He often participate in international conferences. International hospitals and ophthalmology groups invite him for delivering the lectures. Dr. Mubashar is famous in Squint Surgery using latest techniques. He is currently giving his precious services in Amanat Eye Hospital Rawalpindi & Islamabad.
What is a squint?
A squint (strabismus) is when the eyes are not looking in the same direction, i.e. the eyes do not appear straight. The squint can be there all the time or just some of the time, such as when the eyes are tired.
What are the main types of squint?
It is mainly divided in two groups: Phoria (Hidden Squint) A binocular vision problem. This is a tendency for one eye to move horizontally or vertically away from the point of focus. Phoria can cause discomfort and headaches associated with the use of the eyes at distances, close up, or both. Some patients with phorias will see double when they get tired. Phoria can be detected with a cover test. Tropia( Manifest squint) is defines as manifest squint which is obvious all the time. An eye may turn in (convergent squint) or out (divergent squint) or one eye can be higher or lower than the other (vertical squint). A squint might be in one eye or swap between the eyes.
What is Squint surgery?
Squint surgery is a time-honored method to correct eye misalignment. It is the procedure of choice for some types of squint, for children and for those who dislike undergoing surgery while awake.
What are the expected benefits of the operation?
Squint surgery is carried out for different reasons. The surgeon will discuss them with you when your child is listed for surgery or at the pre-assessment.
The main goals of squint surgery are:
- Change the position of the eye(s)
- Reduce double vision
- Reduce an abnormal head posture (tilt, face turn, chin up/down etc.)
What happens before the operation?
Once an operation date has been arranged, your child will be given a date to come in for pre-operative assessment by the anesthetist. The concerned doctor will ensure that your child is fit for surgery and will advise you about how to prepare for the surgery.
What happens on the day of surgery?
Please bring your child to our Eye Centre on time. Your child will be having a general anesthetic on the day so they should not eat or drink anything from midnight, otherwise the operation will be cancelled. Your surgeon will see yourself and your child on the day of surgery for a final review and signing the consent form.
What happens during the operation?
During the operation your child will be asleep. The surgery will involve tightening up, slackening off or moving some of the 6 muscles around the eye to a new position. The eye is not removed during surgery. At the end of the procedure, the eye is patched with an eye pad.
How long will the operation take?
On average, it takes about 20 minutes per muscle. This figure depends also on the age of the patient, his/her tendency to bleed, the size and position of the eyeball and whether it is the first operation or not. Patients that have undergone squint surgery previously have more scarring around the muscles, making further surgery more difficult. At times, the surgeon has to deal with unexpected findings and this will prolong the operation time.
Will my child need to stay overnight?
No, unless your child feels unwell or vomits after the general anesthetic. Our patients are usually able to go home in the afternoon after they have had something to eat and drink.
What happens after my child leaves the hospital?
You might notice that your child’s pupils are bigger than usual and your child may complain of blurred vision – this is a common side effect of the drops used during the operation to minimise bleeding. The pupils will get back to normal in about 4-6 hours. Your child may also complain of some discomfort, it is normal to experience this due to the superficial sutures (“stitches”) used in the operation. These sutures may need to be removed later on. Your child will be wearing a patch over the operated eye for two hours. We avoid patching if your child has had surgery on both eyes, or we cover one eye only. You will be given eye drops to put in to your child’s eye(s) for 2 weeks and we will arrange a post-operative appointment next day after surgery. Please keep this appointment as it is very important to assess the position of the eye and to monitor the healing process. Do not worry if your child complains of double vision after the surgery; it is normal for this to happen as the brain adjusts to a new eye position. If your child does not mention double vision there is no need to ask.
When will my child be able to resume to normal activities?
Most children go back to school or to their usual leisure activities, including sports, one week after surgery. You can not swim for 4 weeks. Please bear this in mind when booking holidays after your child’s strabismus surgery (there is no contraindication to travelling, including flying). Your child can use their glasses as normal, watch TV, read etc. straight away, if they feel up to it. However, no contact lenses can be worn whilst the eye is still red. The eyes can remain red up to 8 weeks after surgery; however, this varies from each individual. If you are concerned and/ or your child is experiencing double vision which is troublesome or getting worse, please contact us.
- Average length of stay
- Pediatric Eye Care
- Squint Surgery