Post-Surgery Vision: Concerns After Strabismus Surgery - Ophthalmology

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Intermittent exotropia surgery


Due to the large angle of strabismus, I would like to inquire about what to do if I have difficulty using both eyes together after surgery.
Will there be a recurrence of the outward deviation in my right eye? Will there be doctors or nurses available to teach me how to use both eyes to see objects after the surgery? I am a bit afraid that if the surgery is not successful, I might need to undergo two or three additional surgeries! Additionally, I currently have significant photophobia; will this persist after the surgery, or will there be any changes? Furthermore, I have a noticeable color difference between my eyes, with one side appearing more vibrant.
How will this change after the surgery? I would appreciate the doctor's guidance on these concerns.
Thank you!

YJ, 20~29 year old female. Ask Date: 2020/12/12

Dr. Gao Pilin reply Ophthalmology


Hello YJ: The eyes automatically use both eyes for vision without the need for training.
This will not cause the right eye to deviate outward.
Whether the surgery will be successful in one attempt may need to be discussed with the surgeon.
Light sensitivity and the decision to undergo surgery should not be related.
Color disparity will not change post-surgery.
The ophthalmology department at Puzi Hospital in Taiwan is open on Monday, Tuesday, Thursday, and Friday from 8:00 AM to 12:00 PM, and on Wednesday from 2:00 PM to 4:30 PM.
Online responses can only serve as a reference; it is still necessary to seek medical attention at a healthcare facility.
I hope to have the opportunity to serve you.
Gao Pilin

Reply Date: 2020/12/12

More Info


After undergoing strabismus surgery, it is completely normal to have concerns about your vision and how your eyes will function together. Here are some insights regarding your questions and concerns:
1. Using Both Eyes Together: After strabismus surgery, many patients experience a period of adjustment as their brain learns to use both eyes together effectively. This process is known as binocular vision development. While some individuals may find it challenging to coordinate their eye movements initially, most will gradually improve over time. It is essential to follow up with your ophthalmologist or optometrist, who may recommend vision therapy or exercises to help enhance your binocular vision. They can provide guidance on how to use both eyes together effectively, which may include specific exercises or activities designed to strengthen eye coordination.

2. Risk of Recurrence: It is understandable to be concerned about the possibility of needing additional surgeries. While some patients may require more than one procedure to achieve optimal alignment, many do well after a single surgery. The success of the surgery often depends on various factors, including the severity of the strabismus and the individual’s response to the procedure. Your surgeon will monitor your progress closely and will discuss any concerns you have about the need for further interventions.

3. Light Sensitivity (Photophobia): It is common for patients to experience light sensitivity after eye surgery, including strabismus surgery. This sensitivity may persist for a while but often improves as the eyes heal. If you find that your photophobia is severe or does not improve, it is important to discuss this with your eye care provider. They may recommend protective eyewear, such as sunglasses, or other treatments to help manage your symptoms.

4. Color Perception Differences: The perception of color differences between your eyes can be a concern for many patients. After surgery, some individuals may notice changes in how colors appear, especially if there was a significant misalignment before the procedure. This can be due to differences in the way each eye processes visual information. While some patients report improvement in color perception after surgery, others may continue to notice differences. If this is a significant concern for you, it is worth discussing with your surgeon, who can provide more personalized insights based on your specific situation.

5. Post-Surgery Follow-Up: Regular follow-up appointments with your eye care provider are crucial after strabismus surgery. They will assess your healing, monitor your vision, and provide guidance on any necessary therapies or interventions. If you have specific concerns about your recovery or visual function, do not hesitate to bring them up during your visits.

In summary, while it is natural to have concerns about your vision after strabismus surgery, many patients experience positive outcomes with time and appropriate follow-up care. Your eye care team is there to support you through this process, so make sure to communicate openly about your concerns and ask any questions you may have. With patience and the right guidance, you can work towards achieving improved binocular vision and overall visual comfort.

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