Do You Need New Glasses After Strabismus Surgery? - Ophthalmology

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Is it necessary to get new glasses after strabismus surgery?


Two weeks ago, I underwent strabismus surgery to correct an inward deviation of my left eye, which was between 30 to 35 degrees.
I did not have any issues with double vision or strabismus during my childhood, but severe double vision appeared around October of last year, along with strabismus.
After various examinations ruled out other causes, I proceeded with the strabismus surgery.
I have high myopia (approximately -800 diopters).
During my one-week postoperative follow-up, the doctor confirmed that the eye alignment is currently correct and there is no double vision.
The doctor mentioned that we would reassess the need for new glasses in a month.
However, I am concerned that wearing my old glasses, which may have a different focal length than my current postoperative alignment, could affect the recovery of my eye position.
Should I get new glasses immediately? Thank you.

Lillian, 30~39 year old female. Ask Date: 2019/10/01

Dr. Gao Pilin reply Ophthalmology


Hello Lillian: If you are concerned about different prescriptions, you can have the optical company check your glasses to determine if the prescription of your old glasses matches the current one.
If there is not much difference, there is no need to worry about the recovery of your vision, and you do not need to rush to get new glasses.
At Taiwan E-Hospital Puzi Hospital, the ophthalmology department is available on Monday, Tuesday, Thursday, and Friday mornings from 8:00 AM to 12:00 PM, and on Wednesday afternoons from 2:00 PM to 4:30 PM.
Online responses can only serve as a reference; if necessary, you should still seek medical attention at a healthcare facility.
I hope to have the opportunity to serve you.
Gao Pilin

Reply Date: 2019/10/01

More Info


After undergoing strabismus surgery, it is common to have questions regarding the need for new glasses, especially if you have a history of high myopia and have recently experienced changes in your vision. In your case, since you had a successful surgery to correct a left eye inward deviation (esotropia) and are currently not experiencing double vision, it is understandable that you are concerned about the potential impact of your old glasses on your recovery.

Firstly, it is important to recognize that strabismus surgery aims to realign the eyes and improve binocular vision. Post-surgery, the eye muscles are adjusted, and the brain needs time to adapt to the new alignment. This adaptation period can vary from person to person, but it typically takes several weeks to a few months for the brain to fully adjust to the changes. During this time, your visual system may still be in a state of flux, and your prescription may not be stable immediately after surgery.

Regarding your concern about wearing your old glasses, it is crucial to understand that if your previous prescription does not match your current visual needs post-surgery, wearing them could potentially lead to discomfort or visual disturbances. This is particularly relevant for someone with high myopia, as the optical correction must be precise to avoid straining the eyes. If your old glasses are not providing the correct focus, they could interfere with the healing process and the brain's adaptation to the new eye alignment.

Your surgeon's recommendation to wait a month before determining whether you need new glasses is a standard practice. This waiting period allows for the initial healing and adjustment phase to occur. During this time, it is advisable to monitor your vision closely. If you notice any significant changes, such as the return of double vision or discomfort, you should contact your eye care provider promptly.

In the meantime, if you find that your old glasses are causing discomfort or if you feel that they are not providing adequate vision correction, you might consider scheduling an interim eye exam. An eye care professional can assess your current visual acuity and determine if a temporary prescription is necessary. This can help ensure that you are comfortable while your eyes continue to heal.

Once the one-month mark has passed, and if your vision remains stable, your eye doctor will likely perform a comprehensive eye exam to evaluate your visual needs accurately. If a new prescription is warranted, they will provide you with the appropriate lenses to support your vision post-surgery.

In summary, while it is generally advisable to wait for a follow-up appointment before getting new glasses after strabismus surgery, you should prioritize your comfort and visual clarity. If your old glasses are causing issues, consider consulting with your eye care provider sooner rather than later. Your vision is paramount, and ensuring that you have the correct optical support during your recovery is essential for the best possible outcome.

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