In some cases of strabismus in children and adults, strabismus treatment consists of glasses, prisms, patching or blurring of one eye, botulinum toxin injections, or a combination of these treatments. Other times, eye muscle surgery is necessary to straighten the eyes.
In children with some types of constant strabismus, early surgery may be recommended to improve the chance of restoring or promoting normal binocular vision.
In adults, eye alignment surgery is not strictly cosmetic. Cosmetic surgery is enhancement surgery, such as restoring youthful appearance in a normal aging person. Eye alignment surgery restores normal appearance and is considered reconstructive. There are many other benefits beyond restoring normal appearance: improved depth perception or binocular vision, improved visual fields, eliminating or minimizing double vision and improved social function — as eye contact is hugely important in human communication. It is important to discuss the goals and expectations of the surgery with your ophthalmologist.
During strabismus surgery, one or more of the eye muscles are strengthened, weakened or moved to a different position to improve alignment. Strabismus surgery is usually performed as an outpatient procedure and does not require an overnight hospital stay.