Can You Undergo Strabismus Surgery After Femtosecond Laser Treatment? - Ophthalmology

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Can a patient who has undergone femtosecond laser surgery still undergo strabismus surgery?


As mentioned, I underwent laser vision correction in the middle of 2017, and after removing my glasses, I noticed that my left eye has an upward outward strabismus.
I would like to know if this will have any impact.
Additionally, if it does not affect me, how long after the surgery can I resume exercising? I have been consistently working out for a while and do not want to take too long of a break for fear of losing muscle.

Xiansheng, 20~29 year old female. Ask Date: 2018/09/02

Dr. Cai Wenyuan reply Ophthalmology


Hello, it should not have any impact.
Please consult a physician for evaluation.
Wishing you safety and health.
Sincerely, Dr.
Tsai Wen-Yuan, Director of the Ophthalmology Department, Taoyuan General Hospital, Ministry of Health and Welfare.

Reply Date: 2018/09/02

More Info


Strabismus surgery, which is performed to correct misalignment of the eyes, can generally be conducted after undergoing femtosecond laser treatment for vision correction, such as LASIK or PRK. However, there are several factors to consider before proceeding with the surgery, especially regarding the timing and potential impacts on your vision and recovery.

Firstly, it is essential to allow adequate healing time after your laser vision correction procedure. Typically, a waiting period of at least 3 to 6 months is recommended before undergoing any additional eye surgeries, including strabismus surgery. This waiting period allows your eyes to stabilize after the laser treatment, ensuring that any changes in vision are due to the strabismus rather than residual effects from the laser procedure.

Regarding the impact of strabismus surgery on your vision, it is important to consult with your ophthalmologist or a specialist in strabismus. They will assess your specific condition, including the degree of misalignment and any other ocular health issues. In many cases, strabismus surgery can significantly improve alignment and binocular vision, which may enhance your overall visual experience. However, it is crucial to have realistic expectations and understand that while surgery can correct the alignment, it may not necessarily improve visual acuity if there are underlying issues.

Post-surgery, the recovery period can vary from person to person. Generally, patients can expect some swelling and discomfort in the days following the procedure, but these symptoms typically resolve within a week or two. Most patients can return to light activities within a few days, but it is advisable to avoid strenuous activities, including intense workouts or heavy lifting, for at least 2 to 4 weeks. This precaution helps prevent any undue stress on the eyes during the healing process.

If you are concerned about maintaining your fitness routine, it is essential to communicate this with your surgeon. They can provide personalized advice based on your recovery progress and overall health. In many cases, light exercises such as walking or gentle stretching can be resumed shortly after surgery, but high-impact activities or exercises that put pressure on the head and eyes should be avoided until you receive clearance from your healthcare provider.

In summary, undergoing strabismus surgery after femtosecond laser treatment is generally feasible, provided that you allow sufficient healing time and consult with your eye care specialist. They will guide you through the process, ensuring that your vision and overall eye health are prioritized. Additionally, while it is understandable to want to maintain your fitness, it is crucial to follow your surgeon's recommendations regarding activity restrictions during the recovery phase to ensure optimal healing and results.

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