Post-Strabismus Surgery: Concerns About Uneven Eyes

Q: Post-Strabismus Surgery: Concerns About Uneven Eyes

Hello Mina： After surgery, there may be redness and swelling, which can sometimes cause asymmetry in the eyes. <br>Since it has only been about two weeks, there is a possibility of recovery. <br>However, please consult your attending physician during your follow-up appointment fo

The issue of unequal eye size after strabismus surgery?

Hello, Doctor.
I have intermittent strabismus.
I would like to ask...
After strabismus surgery, is it normal to experience a difference in eye size? I had the surgery on July 10, and I’ve noticed that my left eye (the one that was operated on) appears smaller.
Is this normal? My eye is still a bit red, but the difference in size is quite noticeable.
Is this normal? If it is normal, will my eye return to its original size later? Thank you, Doctor!

Mina, 30~39 year old female. Ask Date: 2020/07/26

Dr. Gao Pilin reply Ophthalmology

Hello Mina: After surgery, there may be redness and swelling, which can sometimes cause asymmetry in the eyes.
Since it has only been about two weeks, there is a possibility of recovery.
However, please consult your attending physician during your follow-up appointment for an accurate assessment.
In Taiwan, at Puzi Hospital's ophthalmology department: Monday, Tuesday, Thursday, and Friday mornings from 8:00 AM to 12:00 PM, and Wednesday afternoons from 2:00 PM to 4:30 PM.
Online responses can only serve as a reference; it is essential to seek medical attention at a healthcare facility if necessary.
I hope to have the opportunity to serve you.
Gao Pilin

Reply Date: 2020/07/26

More Info

Hello! Thank you for reaching out with your concerns regarding post-strabismus surgery. It's understandable to have questions about changes in your eyes after such a procedure, especially when it comes to the appearance of uneven eyes or "size differences."
Firstly, it’s important to recognize that after strabismus surgery, some patients may experience temporary changes in the appearance of their eyes. This can include swelling, redness, or even a perception of one eye appearing smaller than the other. These changes are often due to the surgical manipulation of the eye muscles and the healing process that follows.
In your case, since you had surgery on July 10th, it is still relatively early in the recovery phase. The eyes can take several weeks to months to fully heal and settle into their new positions. Swelling and redness are common post-operative symptoms and can contribute to the appearance of unevenness. It’s not unusual for one eye to appear smaller or different in size immediately after surgery due to these factors.

Regarding your concern about the left eye appearing smaller, this can happen if there is swelling or if the eye muscles are still adjusting to their new positions. Over time, as the swelling decreases and the tissues heal, the eyes may begin to look more symmetrical. However, it’s essential to keep in mind that complete recovery can take time, and the final results may not be evident for several months.

If the size difference persists beyond the typical healing period (usually around three to six months), or if you experience any discomfort, pain, or significant changes in vision, it would be advisable to follow up with your ophthalmologist or the surgeon who performed the procedure. They can assess your eyes and determine if any further intervention is needed.

In terms of the redness you mentioned, this can also be a normal part of the healing process. However, if the redness is accompanied by pain, discharge, or changes in vision, it’s crucial to seek medical attention promptly, as these could be signs of infection or other complications.

To summarize, while it is common to experience some degree of asymmetry and redness after strabismus surgery, these symptoms should gradually improve as you heal. If you have ongoing concerns or if the appearance of your eyes does not improve over time, do not hesitate to reach out to your healthcare provider for a thorough evaluation. They can provide you with the best guidance tailored to your specific situation.

In the meantime, ensure you are following any post-operative care instructions provided by your surgeon, including any prescribed medications or follow-up appointments. Taking care of your eyes during this healing phase is crucial for achieving the best possible outcome.

Thank you for your question, and I wish you a smooth recovery!

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