Doctor insights on:
After Strabismus Surgery
Over-corrected: In some cases, the eyes are over-corrected in the beginning because they will settle back some as they heal. Speak with your surgeon and be patient with the healing process. ...Read more
Eyes used to alternate. Will they relearn how after strabismus surgery or will I have intractable diplopia? 4 months out-i'm 4-6 dp eso after exo surg.
Time for recheck: An evaluation by your pcp or ophthalmologist is indicated. ...Read more
Hard to say: Since strabismus can develop when one eye is weaker than the other, the surgery just helps line you up. It will not end any deficiency in the weaker eye that lead to the problem. If you do not bring the weaker eye up to proper strength, it could recur or you could develop further visual impairment. ...Read more
Eye will still move: If you mean, will the eye still be able to move to follow objects-yes. Your ophthamologist can give you answers specific to your case. ...Read more
Will using a full-time prism lens after horizontal strabismus surgery help or hinder the residual over-correction to move the eye closer to alignment?
Ten days after having bi lateral strabismus surgery, my double vision is back. Can I use my specs that have a prism, or do I have to try and manage?
See your surgeon: The prism glasses you already have may not work, because the measurements have probably changed. If you haven't already done so, try on your glasses--they may help a little with the double. If you do not have a follow up appointment scheduled with your surgeon, you should make one. ...Read more
Confusing question: Proper vision requires brain input of 2 similar sharp images by well aligned eyeballs. If one eye is sharper than the other, or alignment is bad, the brain may turn off one eye to stop a blurred image. If the vision is off in one eye for an extended period (yrs), amblyopia (lazy eye) can be permanent. Alignment surgery may not hold without vision to keep it on tract. Revision may be necessary/cosmetic ...Read more
Very effective: For most patients with strabismus, surgical correction is very safe and effective. There is a 20-30% chance of needing subsequent surgery at some point if recurrent strabismus occurs but the surgery should definitely improve this issue. Some forms of strabismus are less amenable to surgery so you should see a strabismus doctor for further evaluation. ...Read more
Strabismus surgery: First, a comprehensive evaluation, during which measurements are taken of the deviation. Then in either an outpatient center or hospital, with you under twilight or general anesthesia, the surgeon adjusts the muscles by moving them futher back on the outer wall of the eye to weaken their pull, or foward, to strengthen their pull. This may be done only on one eye, or both, depending on the need. ...Read more
Mildly: Strabismus surgery involves the alteration of the length of eye muscles so the eyes are in alignment. Mostly done in children under general anesthesia but also can be done in adults frequently under local. The type of anesthesia in all cases takes away any pain. Afterwards the eyes can be a bit sore but pain medication is rarely needed. ...Read more
Strabismus surgery: Only your ophthalmologist can determine the neccesity of surgical treatment for strabismus - usually after failure to correct it via patching and/or glasses causing deterioration of the visual acuity of the affected eye. If you are not satisfied with the recommendation, get a second opinion. ...Read more
Discuss with your MD: Of course discuss the risks, benefits, and alternatives of surgery with your ophthalmologist. Risks include pain, bleeding, infection, undercorrection, overcorrection, need for additional surgery, loss of the eye muscle, and penetration of the sclera causing a retinal disorder. ...Read more
Strabismus surgery: The total operating time for strabismus surgery depends on several factors including the number of muscles being operated on, what procedure is being performed on the muscles and whether it is a first surgery or a re-operation. It can take as little as 5 minutes for a first-time, single muscle surgery and as long as 90 minutes for a more complicated, multiple muscle surgery. On average, 15-30 min. ...Read more
Depends: Strabismus surgery is not an exact science. Aligning the eye muscles so that the two eyes are perfectly aligned can be difficult and sometimes impossible. The success of surgery depends on the cause of the strabismus (childhood, trauma, thyroid disease). Sometimes more than one surgery is required. The goal is to have realistic expectations going into surgery. ...Read more
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