Strabismus After Retinal Detachment Surgery: Key Questions Answered

The issue of strabismus?

Hello! Last year, I experienced a retinal detachment in my right eye, and I can only see objects in the lower right corner.
I currently have about 10% vision left.
After undergoing surgery, I took more than six months to recover, and then I started developing strabismus.
The doctor mentioned that since I only have 10% vision, my eye tends to drift outward as an adult.
I have a few questions to ask:
1.
I heard that after strabismus surgery, there is a chance of reverting back to strabismus.
If I undergo surgery, how long can the results last?
2.
If I do revert back to strabismus, can I have another surgery? How many times can this be done at most?
3.
I would like to know the cost of the surgery.
4.
In my situation, is it possible to treat this condition without surgery, using other methods?
Thank you, doctor!

boey, 20~29 year old female. Ask Date: 2010/02/23

Dr. Hu Yusheng reply Ophthalmology

Dear Ms.
Boey,
Regarding the management of strabismus that may develop after retinal detachment surgery, the approach will differ depending on whether the degree of strabismus changes with direction or remains constant.
The prognosis may also vary accordingly.
It is recommended that you discuss this matter in person with your physician.
If the surgical prognosis indicates a possibility of fusion (i.e., no double vision), you may be eligible to apply for health insurance coverage.
Thank you for your inquiry.
Wishing you good health and safety.

Reply Date: 2010/02/23

More Info

Hello! Thank you for your questions regarding strabismus following retinal detachment surgery. It’s understandable to have concerns after such significant eye procedures, especially when new symptoms arise. Let’s address your questions one by one.

1. Recurrence of Strabismus After Surgery: After strabismus surgery, there is indeed a possibility that the condition can recur. The duration for which the correction lasts can vary widely among individuals. Factors influencing this include the underlying cause of the strabismus, the surgical technique used, and individual healing responses. Generally, many patients experience stable alignment for several years, but some may notice a gradual return of strabismus over time. Regular follow-ups with your ophthalmologist can help monitor your condition.

2. Repeat Surgery for Strabismus: If strabismus recurs after the initial surgery, it is often possible to perform additional surgeries. The number of surgeries a person can undergo is not strictly limited, but it depends on various factors, including the health of the eye muscles, the presence of any complications, and the overall health of the patient. Each case is unique, so it’s essential to have a thorough discussion with your ophthalmologist about your specific situation.

3. Cost of Strabismus Surgery: The cost of strabismus surgery can vary significantly based on several factors, including the healthcare facility, the complexity of the surgery, and whether it is performed in an outpatient or inpatient setting. In the United States, the cost can range from a few thousand dollars to over ten thousand dollars, depending on these factors. It’s advisable to check with your healthcare provider and insurance company to get a more accurate estimate based on your specific circumstances.

4. Non-Surgical Options for Strabismus: In some cases, non-surgical options may be available to manage strabismus. These can include vision therapy, which involves exercises designed to improve coordination and control of the eye muscles. Additionally, prism glasses can sometimes help align vision by altering the way light enters the eye. However, the effectiveness of these methods can vary, and they may not be suitable for everyone, especially in cases where significant misalignment is present.

In conclusion, strabismus following retinal detachment surgery is a complex issue that requires careful evaluation and management. It’s crucial to maintain open communication with your ophthalmologist, who can provide personalized advice based on your specific condition and needs. Regular follow-ups will help monitor your eye health and ensure that any changes are addressed promptly. If you have further questions or concerns, don’t hesitate to reach out to your healthcare provider. Thank you for your inquiry, and I wish you the best in your recovery and management of your eye health!

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