Can Surgery Help with Strabismus, Amblyopia, and Myopia? - Ophthalmology

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Strabismus, amblyopia, myopia?


Hello, Doctor: I would like to ask if strabismus, myopia, amblyopia, and photophobia can be treated with surgery.
Will surgery improve these conditions? I have these symptoms, and my lenses need to be custom-made.
Are there any cases that I can refer to for understanding? Could you please provide a preliminary assessment?

AARON, 30~39 year old female. Ask Date: 2011/04/14

Dr. Gao Pilin reply Ophthalmology


Hello: Strabismus surgery involves adjusting the position of the eyes by operating on the muscles outside the eyeball.
Myopia and astigmatism are treated with laser surgery on the cornea.
Both types of surgery have certain efficacy, but a personal examination and evaluation are necessary.
Amblyopia does not require surgery, but if treatment is not initiated before the age of 8, the effectiveness is significantly reduced.
Thank you for your message.

Reply Date: 2011/04/14

More Info


Strabismus, amblyopia, and myopia are common eye conditions that can significantly affect vision and quality of life. Let's explore each condition and the potential role of surgery in their treatment.

Strabismus refers to a misalignment of the eyes, where one eye may turn in, out, up, or down while the other eye remains focused. Surgery can be an effective treatment for strabismus, especially when the misalignment is significant or when non-surgical treatments (like glasses or vision therapy) have not produced the desired results. The surgical procedure typically involves adjusting the muscles around the eye to improve alignment. Success rates for strabismus surgery are generally high, and many patients experience improved eye alignment and binocular vision post-surgery. However, the degree of improvement can vary based on the severity of the condition and the age of the patient.

Amblyopia, often referred to as "lazy eye," is a condition where one eye does not develop proper vision during childhood. It is usually caused by strabismus, significant differences in refractive error between the two eyes, or other visual impairments. While surgery can correct the underlying cause of amblyopia (like strabismus), the primary treatment for amblyopia itself typically involves non-surgical methods such as patching the stronger eye to encourage use of the weaker eye, vision therapy, or corrective lenses. Surgery may not directly improve amblyopia, but correcting strabismus can help improve visual function in some cases.

Myopia, or nearsightedness, is a refractive error where distant objects appear blurry while close objects can be seen clearly. Surgery for myopia, such as LASIK or PRK, reshapes the cornea to improve focus and reduce dependence on glasses or contact lenses. These procedures have a high success rate and can significantly improve vision for many patients. However, not everyone is a suitable candidate for refractive surgery, and a thorough evaluation by an eye care professional is necessary to determine eligibility.

In summary, surgery can be beneficial for strabismus and myopia, potentially leading to improved vision and quality of life. For amblyopia, while surgery may address the underlying cause, additional non-surgical treatments are usually necessary to achieve optimal visual outcomes. It's essential to consult with an ophthalmologist or optometrist who specializes in these conditions to discuss your specific case, evaluate your symptoms, and determine the best course of action.

In your situation, given that you have multiple symptoms, a comprehensive eye examination is crucial. This will help assess the severity of your strabismus, amblyopia, and myopia, and guide the appropriate treatment plan. If surgery is deemed necessary, your eye care provider will explain the potential risks and benefits, as well as what you can expect during the recovery process. Remember, early intervention often leads to better outcomes, so seeking professional advice is an important step in managing your eye health.

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