Is It Normal for Eye Position to Be High After Strabismus Surgery? - Ophthalmology

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After undergoing strabismus surgery, it is not uncommon for patients to experience some changes in eye position, including the sensation that the operated eye appears to be higher than the other eye. This phenomenon can be attributed to several factors related to the surgical procedure and the healing process.

Firstly, strabismus surgery aims to realign the eyes by adjusting the muscles that control eye movement. In your case, since you had surgery for right eye exotropia (outward deviation), the surgeon likely adjusted the lateral rectus muscle to bring the eye into a more aligned position. However, the healing process can lead to temporary imbalances as the muscles and surrounding tissues recover. Swelling, inflammation, and the gradual settling of the eye muscles can all contribute to the perception that the eye is positioned higher than normal.

Secondly, it is important to consider the role of the brain in processing visual input. After surgery, your brain may still be adapting to the new alignment of your eyes. This adjustment period can lead to visual discrepancies, where one eye may seem to be in a different position than the other, even if the surgical outcome is technically correct. The brain's ability to fuse the images from both eyes can take time, and during this period, you may notice unusual positioning or alignment.

Your surgeon's assessment that the eye angles are correct is a positive sign. It indicates that the surgical intervention was successful in terms of achieving the intended alignment. However, if you continue to feel that the operated eye is significantly higher or if you experience discomfort, double vision, or other visual disturbances, it is essential to communicate these concerns with your ophthalmologist. They may recommend further evaluation or adjustments if necessary.

In some cases, a second surgery may be required to fine-tune the alignment, especially if the initial surgery did not achieve the desired results or if there is a significant overcorrection or undercorrection. Your surgeon will consider various factors, including the degree of deviation, your overall eye health, and your visual function, before making any recommendations.

Additionally, it is crucial to follow up with your eye care provider regularly after surgery. They can monitor your recovery, assess any changes in eye position, and provide guidance on exercises or therapies that may help improve your visual alignment and comfort.

In summary, while it is not unusual to perceive the operated eye as being higher after strabismus surgery, it is essential to maintain open communication with your healthcare provider. They can help determine whether your experience is part of the normal healing process or if further intervention is needed. Remember that recovery from strabismus surgery can take time, and patience is key as your eyes and brain adjust to the changes.