Strabismus occurs when the eyes are not aligned properly (e.g. one eye turns inward). This can occur in children and adults, and may cause double vision.
Strabismus surgery strengthens or weakens eye muscles, which changes the alignment of the eyes. The type of anesthesia depends on age/health and patient preference. Most children undergo general anesthesia and adults typically have general anesthesia, conscious sedation or local anesthesia. The procedure is usually performed as an outpatient (go home the same day).
How does the surgeon approach the eye muscles?
The eye muscles attach to the sclera (wall of the eye). The muscles are covered by a thin layer of transparent tissue called the conjunctiva. The surgeon incises the conjunctiva to access the eye muscle(s), and uses a delicate hook to isolate the muscle. The eyelids are held open by a small instrument called a lid speculum. No skin incisions are made, and the eyeball is not removed from the eye socket during strabismus surgery.
A muscle recession weakens function by altering the attachment site on the eyeball. A suture is placed through the muscle at the attachment site to the eye. The muscle is cut from the surface of the eye and reattached further back from the front of the eye.
A muscle resection strengthens function by reattaching a muscle to the eyeball at the original insertion site after a portion is removed. A suture is placed through the muscle at the intended new attachment site, the segment of muscle between the suture and the eyeball is removed and the shortened muscle is reattached to the eye.
Redness of the eye post-surgery is normal and may take several weeks or months to disappear. Patients may also suffer from soreness or scratchy eyes. Surgeons may suggest antibiotic and or steroid drops/ointment post-surgery.
Schedule an appointment with Greater Ohio Eye Surgeons today for strabismus surgery consultation.