Strabismus Surgery: Correcting Crossed Eyes

Strabismus surgery is a specialized procedure aimed at correcting crossed eyes and ensuring proper alignment of the eyes. This surgery primarily focuses on the eye muscles, adjusting their position to ensure both eyes work in harmony. Eye muscle surgery can help fix the problem if your child’s eyes are not aligned or turn in different directions. It can also give you peace of mind.This guide explains why it’s important to treat strabismus, what causes it, and how surgery can help improve vision and confidence.

This guide delves deeper into the importance of addressing strabismus, its causes, and how the surgery can pave the way for improved vision and confidence. It’s essential to recognize the signs early and seek professional advice.

Introduction to Strabismus

Strabismus, often referred to as crossed eyes, is a condition where the eyes do not align properly. One eye may turn inwards, outwards, upwards, or downwards while the other eye looks forward. This misalignment can be constant or intermittent. The primary cause of strabismus is a lack of coordination between the eye muscles. This lack of coordination prevents the eyes from gazing at the same point in space, leading to double vision or eye crossing.

What is Strabismus Surgery?

Strabismus surgery is a procedure designed to correct eyes that are misaligned, commonly referred to as crossed eyes. This misalignment can lead to double vision and other eye problems. The surgery involves making adjustments to the eye muscles to ensure they’re properly aligned.

The procedure is a testament to the advancements in ophthalmology, offering a solution to a problem that many face. It’s not just about aesthetics; it’s about ensuring that both eyes coordinate correctly for clear, binocular vision.

Why is Strabismus Surgery Necessary?

When the eyes are misaligned, it can lead to a condition known as double vision. This is because the eyes are sending two different images to the brain, which can be confusing and disorienting. Eye crossing, a common symptom of strabismus, can also lead to challenges in depth perception. Over time, if left untreated, this can have a profound impact on one’s quality of life. It’s essential to understand that untreated strabismus can lead to amblyopia, where the brain starts ignoring inputs from the misaligned eye.

Causes of Strabismus

Strabismus, commonly known as misaligned or crossed eyes, is a condition where the eyes don’t look in the same direction simultaneously. While one eye may focus on a particular point, the other might turn inward, outward, upward, or downward. The root causes of strabismus are diverse and can vary from individual to individual. Here’s a deeper look into the various factors that can lead to the development of strabismus:


A family history of strabismus can play a significant role in the development of the condition. If parents or grandparents have had strabismus, there's an increased likelihood that the child might also develop it. This genetic predisposition suggests that strabismus can be passed down through generations, making it essential for parents with a history of the condition to get their children's eyes checked early on.


Injuries to the eye, head, or surrounding areas can lead to strabismus. Whether it's a direct injury to the eye muscles or damage to the nerves controlling those muscles, trauma can disrupt the normal functioning and alignment of the eyes. It's crucial to seek immediate medical attention after any eye injury to prevent complications, including strabismus.

Refractive Errors:

Refractive errors refer to vision problems that arise due to the shape of the eye, which prevents light from focusing directly on the retina. Conditions such as farsightedness (hyperopia), nearsightedness (myopia), and astigmatism can contribute to the development of strabismus. For instance, a person with severe farsightedness might develop strabismus as the eyes work harder to focus, leading to misalignment.

Medical Conditions:

Certain health issues and syndromes can increase the risk of developing strabismus. For example:
  • Down Syndrome: Children with Down syndrome often have various health challenges, and eye problems, including strabismus, are common.
  • Cerebral Palsy: This neurological condition can affect muscle coordination and movement, including the muscles controlling eye movement.
  • Stroke: A stroke can damage the parts of the brain responsible for controlling eye movement, leading to strabismus in some individuals.

Other Eye Conditions:

Various diseases or conditions that affect the eye can lead to strabismus. For instance:
  • Retinal Diseases: Conditions that damage the retina, the light-sensitive layer at the back of the eye, can lead to vision problems and strabismus.
  • Cataracts: A clouding of the eye's natural lens, if present from birth or developed at a young age, can lead to strabismus.
  • Tumors: In rare cases, a tumor behind the eye can exert pressure and cause the eye to turn, leading to strabismus.

Understanding the causes of strabismus is the first step in seeking appropriate treatment. Early detection and intervention can lead to better outcomes and improved quality of life for individuals with strabismus.

Benefits of Strabismus Surgery

  • Improved Vision: One of the most significant benefits of strabismus surgery is the enhancement in vision. Correcting the alignment of the eyes can eliminate double vision and improve depth perception.
  • Boosted Self-Esteem: For many, especially children, having misaligned eyes can be a source of embarrassment. Correcting this can lead to increased confidence.
  • Better Eye Coordination: Post-surgery, the eyes can work together more effectively, improving overall visual function.
  • Prevention of Amblyopia: By correcting strabismus, the risk of developing amblyopia (lazy eye) is significantly reduced.

Understanding the Procedure

Before undergoing surgery to correct strabismus, a thorough medical history is taken to understand any underlying eye problems or other health concerns. The procedure itself focuses on the eye muscles. Depending on the severity and direction of the misalignment, the surgeon will either strengthen or weaken specific muscles to achieve the desired alignment. The precision and care taken during this procedure are paramount, ensuring that the eyes not only look aligned but also function optimally.

During the procedure, eye drops or ointments may be used to numb the area, ensuring comfort and reducing any potential discomfort. It’s worth noting that the eyeball itself is not removed during this surgery. Instead, small incisions are made to access the eye muscles and make the necessary adjustments. Post-operative care is crucial to ensure the success of the surgery and prevent any complications. The advancements in surgical techniques ensure minimal scarring and faster recovery times. It’s also worth noting that the success rate of strabismus surgery is high, with many patients achieving desired results after a single procedure.

Post-Surgery Care

After undergoing surgery to correct strabismus, it’s common to experience some redness or soreness in the eyes. This is temporary and should subside within a few days. Eye drops may be prescribed to prevent infection and reduce inflammation. It’s crucial to follow the post-operative care instructions provided by the surgeon to ensure a smooth recovery and optimal results.

Regular follow-up appointments will be scheduled to monitor the healing process and ensure that the eyes remain aligned. Patients are often amazed at the transformation, not just in their vision but also in their overall demeanor. It’s also essential to protect the eyes from direct sunlight and avoid any strenuous activities that might strain the eyes.

Contact Us

Strabismus surgery is a transformative procedure that can significantly improve the quality of life for individuals with crossed eyes. By addressing the eye muscles and ensuring they’re properly aligned, this surgery offers a solution to eye problems like double vision and eye crossing. If you or a loved one is considering this procedure, understanding its purpose, the intricacies involved, and post-operative care can make the journey smoother and more informed. In the realm of ophthalmology, this surgery promises clearer vision and a brighter future. It’s a step towards ensuring that every individual can experience the world with clear, aligned vision. Contact us today and follow us on social media to stay updated! 

Note: Always consult with a medical professional before making decisions about any surgical procedures. Your health and well-being are of utmost importance, and understanding every aspect of the procedure will ensure you make an informed decision.