Strabismus Surgery

Strabismus surgery corrects misaligned eyes (crossed eyes/wandering eyes) by adjusting the extraocular muscles. This procedure restores binocular vision, improves depth perception, and enhances cosmetic appearance, with success rates of 80-90% in experienced hands.

Types of Strabismus Treated

• Esotropia (Inward turning)
• Exotropia (Outward turning)
• Hypertropia (Upward deviation)
• Paralytic Strabismus (Nerve palsy-related)

Who Needs Surgery?

Indications:

• Constant eye misalignment (non-responsive to glasses/vision therapy)
• Double vision (diplopia) affecting daily life
• Cosmetic concerns causing social distress

Surgical Techniques

1. Muscle Resection/Recession

• Weakening procedures (recession)
• Strengthening procedures (resection)

2. Adjustable Sutures

• Allows fine-tuning post-operatively

3. Minimally Invasive Approaches

• Small incision techniques for faster recovery

Procedure & Recovery

• Duration: 30-90 minutes (general anesthesia for children)
• Recovery Timeline:
  • 1-2 days for return to light activities
  • 2-4 weeks for complete healing
• Post-Op Care:
  • Antibiotic/steroid eye drops
  • Follow-up assessments for alignment

Advances in Strabismus Surgery

• Botulinum Toxin (Botox) Augmentation – For small-angle corrections
• 3D Surgical Planning – Enhanced precision
• Intraoperative Imaging – Real-time alignment verification