What is being done in a strabimus surgery?

Strabismus surgery is a surgical procedure performed to correct misalignment or deviation of the eyes, commonly referred to as strabismus. The goal of strabismus surgery is to restore normal eye alignment and binocular vision, improving both the cosmetic appearance and functional aspects of vision.

During strabismus surgery, one or more of the six extraocular muscles surrounding each eye are surgically adjusted to alter their length or position. These muscles are responsible for controlling eye movements and maintaining proper eye alignment.

Here are the key steps involved in strabismus surgery:

1. Preoperative Evaluation:

Before the surgery, a comprehensive eye examination is performed by an ophthalmologist or strabismus surgeon. This evaluation includes assessing the degree and direction of the eye misalignment, measuring the eye movements, and evaluating the visual function.

2. Anesthesia:

Strabismus surgery is usually performed under general anesthesia, especially in children, to ensure comfort and immobility during the procedure. In some cases, local anesthesia may be used in adults.

3. Surgical Approach:

A small incision is made near the conjunctiva, which is the transparent membrane covering the white part of the eye. Through this incision, the surgeon accesses the extraocular muscles.

4. Muscle Adjustment:

Based on the preoperative evaluation, the surgeon carefully identifies the muscles responsible for the misalignment. Adjustments to the muscles involve weakening some muscles by cutting them slightly and strengthening others by suturing and repositioning them. The goal is to create a balanced force between the muscles, allowing the eyes to align correctly.

5. Closure:

Once the muscle adjustments are complete, the incisions are carefully closed with dissolvable sutures or surgical glue. The conjunctiva is typically left open, and it naturally heals and reseals over time.

6. Post-Operative Care:

After the surgery, a protective eye patch or shield may be applied to the eye to promote healing and prevent discomfort. The surgeon will provide instructions on post-operative care, including the use of eye drops, pain management, and activity restrictions. Regular follow-up appointments are scheduled to monitor the healing process and the effectiveness of the surgery.

Strabismus surgery is a highly specialized procedure performed by experienced ophthalmologists or strabismus surgeons. It aims to achieve proper eye alignment, improve visual function, and restore overall eye health and comfort for individuals with strabismus.