How DPC Can Help Manage Your Strabismus

Updated on: December 03, 2023

A strabismus is a condition in which the eyes are not aligned properly and point in different directions. It can affect one or both eyes, causing problems with vision, depth perception, and eye coordination. It can develop from birth or be acquired later in life due to various causes, including injury, disease, or nerve damage. Furthermore, strabismus is often associated with conditions like amblyopia (lazy eye), nystagmus (involuntary eye movements), and diplopia (double vision).

A variety of treatments exist for strabismus, depending on its type, severity, and underlying cause. Some of the most common options include glasses, eye patches, eye exercises, prism lenses, botulinum toxin injections, and surgery. Patients who lack adequate health insurance or access to quality eye care, however, may find these treatments to be costly, time-consuming, and inconvenient.

As a new way to deliver primary care, Direct Primary Care (DPC) aims to provide patients with more personalized, affordable, and accessible care. A primary care provider (PCP) and patient have a direct relationship, without the involvement of third parties, such as insurance companies or the government. The majority or all of the primary care services that DPC patients need, such as office visits, preventive care, chronic disease management, and basic laboratory tests, are covered by their PCP's monthly or annual fee. Also available to DPC patients are longer and more frequent appointments, same-day or next-day scheduling, 24/7 access to their PCP via phone, email, or text, and reduced or discounted prices for medications, imaging, and specialty referrals.

How DPC Can Help Manage Your Strabismus

For patients with strabismus, DPC can be a valuable option, as it offers several advantages over traditional fee-for-service primary care.

  • Early detection and diagnosis: DPC allows you to have regular and comprehensive eye exams with your PCP, who can screen you for strabismus and other eye conditions, and refer you to an ophthalmologist or optometrist if necessary. By detecting and diagnosing strabismus early, you improve your chances of success and prevent complications such as vision loss.

  • Personalized treatment plan: DPC enables you to have a close and ongoing relationship with your PCP, who can tailor your treatment plan to meet your individual needs, preferences, and goals. By monitoring your progress, adjusting your treatment, and coordinating your care with other providers, your PCP can help you achieve your goals. As well as answering your questions and addressing your concerns, your PCP can also educate you about your condition.

  • Saving money and time with DPC: DPC eliminates or reduces the need for copays, deductibles, coinsurance, and other fees associated with insurance-based primary care, which can help you with your strabismus treatment. You can also access your PCP whenever, wherever you want, without having to wait for appointments, referrals, or authorizations, thanks to DPC. In addition to providing evidence-based and appropriate care, DPC can help you avoid unnecessary or duplicate tests, procedures, or medications.

The Benefits of DPC for Strabismus Patients

DPC can offer you many benefits as a strabismus patient, such as:

  • Your PCP can provide more attentive, comprehensive, and continuous care for your strabismus with DPC, which can improve the quality of your care. Digital devices, telemedicine, and electronic health records can also be used by your PCP to deliver your care using the latest technology and best practices. Additionally, DPC can improve the quality of care you receive from other providers, since your PCP can facilitate communication and collaboration with them.

  • Improved health outcomes: With DPC, you can achieve your desired goals, such as improving your vision, correcting your eye alignment, and preventing or reducing your symptoms, for your strabismus. As well as preventing or managing strabismus-related health problems, your PCP may also be able to help you manage diabetes, hypertension, or thyroid problems. As your PCP supports you in maintaining a healthy lifestyle, such as eating well, exercising regularly, and managing stress, DPC can also improve your overall health and well-being.

  • As a strabismus patient, DPC can improve your satisfaction by providing you with more personalized, affordable, and accessible care, which can make you more satisfied. Additionally, your PCP can respect your autonomy, dignity, and privacy, and involve you in decisions about your care. You can also develop a greater sense of trust, rapport, and loyalty with your PCP through DPC.

Personalized Strabismus Management in DPC

A strabismus management plan tailored to your unique needs and preferences can be developed by your PCP. Your plan can include any or all of the following elements:

  • The PCP can assess your vision, eye alignment, eye movements, and eye health during regular and comprehensive eye exams. In addition to cover tests, corneal light reflex tests, Hirschberg tests, and eye charts, your PCP can use various tools to diagnose your strabismus. If necessary, your PCP can refer you to an eye specialist and coordinate your care.

  • Your PCP can prescribe you glasses if you are nearsighted, farsighted, or astigmatism, which can contribute to your strabismus. Your PCP can also adjust your glasses as your vision changes, and provide you with discounted or free glasses if you qualify. Your glasses can help you see better, and may also align your eyes better.

  • In the case that you have amblyopia, which is a condition where one eye is weaker than the other, your PCP may recommend eye patches. Your PCP can monitor your eye patching schedule, and change your schedule if necessary. By covering your stronger eye for a certain period of time each day, you can improve your vision and function of your weaker eye.

  • It is possible to improve your coordination, eye movements, and eye alignment with eye exercises taught by your PCP. Your PCP can also help you relax your eye muscles, and reduce eye strain and fatigue through eye exercises. In addition to providing feedback and encouragement, your PCP can also track your results and progress.

  • If you have diplopia, which is caused by your strabismus and is caused by seeing double images of the same object, your PCP can prescribe prism lenses for you. By bending the light rays that enter your eyes, prism lenses allow you to see a single image. Prism lenses can also be adjusted by your PCP as your eye alignment changes, and if you qualify, you can receive free or discounted prism lenses.

  • Your PCP can administer botulinum toxin injections for you if you suffer from a type of strabismus called esotropia, in which one or both eyes turn inward. By weakening the eye muscles that cause your eyes to turn inward, Botulinum toxin injections allow your opposite eye muscles to pull your eyes outward, correcting your eye alignment. Injections of botulinum toxin can also be monitored by your doctor, and they can be repeated as necessary.

  • If you have a severe or complex case of strabismus, which cannot be treated with other treatments, or if you have other eye conditions requiring surgery, such as cataracts, glaucoma, or retinal detachments, your PCP can refer you to an eye surgeon. By tightening, loosening, or repositioning the muscles controlling your eye movements, surgery can correct your eye alignment. If you are eligible, your PCP can coordinate your preoperative and postoperative care with your eye surgeon, and provide you with discounted or free surgery.

In addition to affecting your vision, appearance, and quality of life, strabismus is a common and treatable eye condition. With DPC, you will be able to manage your strabismus effectively, efficiently, and affordably. Additionally, DPC can enhance your quality of care, improve your health outcomes, and improve your patient satisfaction. You can also choose from a variety of strabismus management options provided by DPC, which will meet your unique needs and preferences.

As a famous quote says, “The eyes are the window to the soul.”

Published on: December 03, 2023
Doctors that manage strabismus
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    Scott Serbin, MD
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    Gary J. Miller, MD
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    Oakland, Maryland
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