Post-Surgery Strabismus: What to Expect on Day Three - Ophthalmology

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The third day after strabismus surgery?


Is it normal for my eyes to still be slightly misaligned after surgery? I used adjustable sutures, and I read online that someone had their eyes completely aligned after 20 days.
Will mine also align on their own over time?

Sorry,, 20~29 year old female. Ask Date: 2014/01/30

Dr. Zhuang Yamin reply Ophthalmology


Hello: The condition after strabismus surgery varies depending on the type and degree of strabismus prior to the surgery, as well as the age of the patient.
The recovery process may differ accordingly.
In the initial days post-surgery, the muscle strength may not have fully recovered, which could result in some misalignment.
Generally, adjustable muscle fixation techniques can still be modified in the early postoperative period.
It is recommended that you communicate thoroughly with your original surgeon to confirm that the current degree of misalignment is within an acceptable range.
Wishing you safety and smooth recovery.
Sincerely, Changhua Hospital.

Reply Date: 2014/01/30

More Info


After undergoing strabismus surgery, it's quite common to have concerns about the alignment of your eyes during the recovery process. On the third day post-surgery, experiencing some residual misalignment is not unusual. The healing process can vary significantly from person to person, and several factors can influence the outcome, including the type of strabismus being treated, the surgical technique used, and individual healing responses.

In the case of adjustable sutures, which allow for fine-tuning of eye alignment after the initial surgery, it is important to understand that the final results may not be immediately apparent. The adjustment period can take time, and it is not uncommon for patients to notice changes in their eye alignment over the weeks following the procedure. Many patients report gradual improvements in alignment as the swelling decreases and the tissues heal.

Typically, the first few days after surgery may involve some swelling and bruising around the eyes, which can temporarily affect how the eyes appear. By the end of the first week, you may start to see some changes as the swelling subsides. However, it is essential to be patient, as the complete healing process can take several weeks to months.
Regarding your concern about whether your eyes will eventually align properly, many patients do experience significant improvement in their eye position over time. It is not uncommon for individuals to see their eyes become more aligned as they heal. However, the timeline can vary. Some patients may notice substantial improvement within a few weeks, while others may take longer.
If you have seen reports of others achieving complete alignment by 20 days post-surgery, it is important to remember that each individual's healing process is unique. Factors such as the severity of the strabismus, the specific surgical technique used, and individual healing responses can all play a role in the final outcome.

It is crucial to follow up with your ophthalmologist or surgeon as scheduled. They will monitor your healing progress and can provide guidance on what to expect in your specific case. If you have concerns about your recovery or if you notice any unusual symptoms, such as increased pain, redness, or changes in vision, do not hesitate to reach out to your healthcare provider.

In summary, experiencing some misalignment three days post-surgery is normal, especially with adjustable sutures. The healing process can take time, and many patients see gradual improvements in alignment as they recover. Be sure to maintain open communication with your healthcare provider to address any concerns and to ensure the best possible outcome for your eye alignment.

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