Why Do My Eyes Still Look the Same After Strabismus Surgery? - Ophthalmology

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Is the eye straightened after strabismus surgery?


Hello, doctor.
I completed strabismus surgery in August this year, and it has been exactly two months since then.
However, the appearance of my eyes still looks exactly the same as before the surgery when I take selfies, but my friends say they can't tell the difference, and the doctor also said the recovery is going well.
I personally feel that it's very obvious and looks bad in photos.
🥲 I would like to ask why this situation is happening!

yuna, 10~19 year old female. Ask Date: 2023/10/06

Dr. Cai Wenyuan reply Ophthalmology


Observe the symptoms, and if they persist, seek medical evaluation.

Reply Date: 2023/10/06

More Info


After undergoing strabismus surgery, it is not uncommon for patients to feel that their eyes appear the same as before the procedure, even if their friends and doctors observe significant improvement. This phenomenon can be attributed to several factors, including psychological perception, healing processes, and the nature of strabismus itself.

Firstly, it's essential to understand that strabismus surgery aims to realign the eye muscles to improve ocular alignment and binocular vision. However, the results may not be immediately apparent to the patient due to the brain's adaptation to the previous eye position. The brain has a remarkable ability to adjust to visual input, and it may take time for it to fully recognize and accept the new alignment. This adjustment period can lead to a discrepancy between how you perceive your eyes and how others perceive them.

Moreover, the healing process after strabismus surgery can take several weeks to months. Swelling, bruising, and inflammation are common post-operative effects that can temporarily alter the appearance of the eyes. Even after the initial healing phase, subtle changes in muscle tension and alignment may continue to evolve as the body adjusts. It is crucial to give your eyes adequate time to heal and for the surgical results to stabilize.

Another factor to consider is the psychological aspect of body image. After surgery, patients often have heightened awareness of their appearance, leading to increased scrutiny of their eyes. This self-consciousness can amplify feelings of dissatisfaction, even if the surgical outcome is positive. It is essential to focus on the functional improvements that may not be immediately visible, such as enhanced binocular vision and reduced eye strain.

If you are still concerned about the appearance of your eyes, it is advisable to follow up with your ophthalmologist or surgeon. They can assess your healing progress and determine if any additional interventions are necessary. In some cases, patients may benefit from vision therapy or additional cosmetic procedures to enhance the aesthetic outcome further.

In conclusion, while it is understandable to feel frustrated about the appearance of your eyes post-surgery, it is essential to recognize that healing takes time, and perceptions can differ between individuals. Trust in the expertise of your medical team and allow yourself the time to adjust to the changes. If concerns persist, do not hesitate to seek further evaluation and support from your healthcare provider.

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We recommend that you: 1. Discuss the above situation further with your attending physician. 2. Consider consulting with an ophthalmologist at a major hospital. Wishing you good health. Thank you!

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