Post-Strabismus Surgery: Can You Wear Contacts and Care for Your Eyes? - Ophthalmology

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One year after strabismus surgery?


1.
Can I wear colored contact lenses? I've heard that wearing them can worsen strabismus.

2.
How can I take care of my eyes to prevent them from becoming loose or reverting back to strabismus? Is it related to individual constitution? What kind of constitution? Or is it something else?
3.
I want to prevent premature aging and sagging of my eyes, so I'm considering massaging around the eyes to relax the eye muscles and reduce fatigue.
Will doing this affect my strabismus and accelerate looseness?

Xie Shi, 20~29 year old female. Ask Date: 2015/01/08

Dr. Gao Pilin reply Ophthalmology


Hello:
1.
Yes, colored contact lenses are a type of contact lens and do not increase strabismus.
However, unlike regular glasses, they do not have the same effect on the focal distance of the pupil, making it more challenging to achieve proper alignment.

2.
Strabismus is caused by factors related to the extraocular muscles or nerves and can be classified as either congenital or acquired strabismus.
Post-surgical fine adjustments rely on the coordination between the eyes and the brain, and may also require the use of regular glasses, prisms, or visual axis training.
If there is overcorrection or undercorrection, further surgery may be necessary.

3.
Massaging the eyes will not affect strabismus.

Puzih Hospital Ophthalmology: Monday to Friday from 8:00 AM to 12:00 PM and Wednesday from 1:00 PM to 4:30 PM.
We hope to have the opportunity to serve you.

Gao Pilin

Reply Date: 2015/01/08

More Info


After undergoing strabismus surgery, it's essential to follow specific guidelines to ensure proper healing and maintain the alignment of your eyes. Here are answers to your questions regarding contact lens use, eye care, and preventive measures for eye aging.

1. Can You Wear Colored Contacts?
After strabismus surgery, it is generally advisable to avoid wearing contact lenses, including colored contacts (美瞳), for a certain period. This is primarily to allow your eyes to heal properly and to avoid any potential irritation or complications that could arise from wearing lenses too soon. There is a common misconception that wearing colored contacts can worsen strabismus or cause the eyes to become more misaligned. While this is not directly true, any irritation or discomfort caused by contacts can lead to squinting or other compensatory behaviors that might affect eye alignment. It’s best to consult your ophthalmologist for personalized advice on when it is safe to resume wearing contacts.

2. How to Care for Your Eyes to Prevent Recurrence of Strabismus?
The maintenance of eye alignment post-surgery is influenced by several factors, including individual anatomy, muscle strength, and overall eye health. To prevent the eyes from becoming misaligned again, it is crucial to follow your surgeon's post-operative care instructions, which may include:
- Regular follow-up appointments to monitor eye alignment and vision.

- Engaging in prescribed eye exercises to strengthen the eye muscles.

- Avoiding activities that may strain your eyes, such as excessive screen time or reading in poor lighting.

- Maintaining a healthy lifestyle, including a balanced diet rich in vitamins A, C, and E, which are beneficial for eye health.

- Staying hydrated and managing any underlying health conditions, such as diabetes or hypertension, which can affect eye health.

3. Preventing Early Aging and Drooping of the Eyes
To prevent early aging of the eyes and reduce the risk of drooping, gentle eye massages can be beneficial. However, it’s crucial to approach this with caution. Overly vigorous massage or manipulation of the eye area could potentially disrupt the healing process or affect the alignment achieved through surgery. Here are some tips for safe eye care:
- Use gentle pressure when massaging around the eyes, focusing on the temples and brow area rather than directly on the eyelids or eyeballs.

- Incorporate relaxation techniques, such as warm compresses, which can soothe the eye muscles without applying pressure.

- Ensure you get adequate rest and sleep, as fatigue can contribute to eye strain and aging.

- Protect your eyes from UV light by wearing sunglasses when outdoors, and consider using blue light filters on screens to reduce strain.

In summary, after strabismus surgery, it is crucial to prioritize healing and follow your ophthalmologist's recommendations regarding contact lens use and eye care. While gentle massages can help relax the eye muscles, they should be done cautiously to avoid any adverse effects on your eye alignment. Regular check-ups and a healthy lifestyle will also contribute significantly to maintaining your eye health and preventing complications. Always consult with your healthcare provider for tailored advice based on your specific situation.

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