Is It Normal for Strabismus Surgery to Take 3 Months for Alignment? - Ophthalmology

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I had strabismus surgery at the end of January, and it still hasn't aligned properly. Is this normal?


It's been three months, and my vision hasn't improved.
I still have four degrees of myopia.
Could it be that my prolonged computer use has caused eye fatigue, preventing my vision from correcting, or is it related to my age?

Sorry,, 20~29 year old female. Ask Date: 2014/04/16

Dr. Zhuang Yamin reply Ophthalmology


Hello: In theory, a deviation of 4 degrees is difficult to judge with the naked eye.
I'm not sure if you might have misunderstood the method you used for self-assessment.
Do your family or friends also notice that you still have a significant eye misalignment? Sometimes, excess skin on the inner eyelid can also lead to misconceptions about eye position! Regarding strabismus surgery, a residual angle of 4 prism diopters is considered a very successful outcome! I still recommend that you communicate with your original surgeon to understand the differences in perception between both parties.
Best wishes! Changhua Hospital cares about you~~

Reply Date: 2014/04/16

More Info


Strabismus surgery is a procedure aimed at correcting misalignment of the eyes, and it is not uncommon for patients to have concerns about their recovery and the time it takes for their eyes to align properly post-surgery. In your case, it has been three months since the surgery, and you are still experiencing misalignment, which can understandably be frustrating.

Firstly, it is important to recognize that the recovery process after strabismus surgery can vary significantly from person to person. While some individuals may notice immediate improvements in alignment, others may take longer to achieve optimal results. Factors that can influence the recovery timeline include the type of strabismus being treated, the surgical technique used, the age of the patient, and any underlying conditions that may affect healing.

Regarding your specific concerns, here are some points to consider:
1. Timeframe for Alignment: It is not unusual for it to take several months for the full effects of strabismus surgery to manifest. The muscles around the eyes may need time to adjust to their new positions, and the brain also requires time to adapt to the changes in alignment. In some cases, fine-tuning adjustments may be necessary, which can be performed in follow-up appointments.

2. Impact of Computer Use: Prolonged use of computers or screens can lead to eye strain and fatigue, which may exacerbate the perception of misalignment. While using a computer is unlikely to directly affect the surgical outcome, it can contribute to discomfort and visual fatigue, making it seem as though the alignment is worse than it is. It is advisable to take regular breaks from screen time and practice the 20-20-20 rule: every 20 minutes, look at something 20 feet away for at least 20 seconds.

3. Age Factor: Age can play a role in the recovery process. Older individuals may experience slower healing and adaptation due to various factors, including changes in muscle tone and overall health. However, age alone should not prevent you from achieving proper alignment.

4. Follow-Up Care: It is crucial to maintain regular follow-up appointments with your ophthalmologist or surgeon. They can assess the alignment of your eyes and determine if additional interventions are needed, such as adjustments or further surgery. They can also provide guidance on exercises or therapies that may help improve alignment and reduce strain.

5. Expectation Management: It is essential to have realistic expectations regarding the outcomes of strabismus surgery. While many patients achieve significant improvements, complete alignment may not always be possible, and some residual misalignment may remain. Your surgeon can provide insights into what is achievable based on your specific case.

In conclusion, while it is not uncommon for alignment to take several months to stabilize after strabismus surgery, it is essential to communicate openly with your healthcare provider about your concerns. They can provide personalized advice and determine the best course of action to help you achieve the best possible outcome. If you continue to experience significant misalignment or discomfort, do not hesitate to reach out for further evaluation and support.

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