The very first question to begin asking your doctor is,” Is there any alternative to strabismus surgery?” Ask what the compelling reason is that you need emergency surgery to treat your eye condition (crossing eyes). When your eyes are naturally misaligned, it could be because one eye deviates inward (esotropia) toward the nose or outward (exotropia), while the other eye remains focused. The most common treatment for strabismus includes wearing glasses. This can only correct a mild form of strabismus. If this does not work, your doctor will recommend you use a temporary eye patch over the stronger eye. This can diagnose amblyopia, if any, and make the weak eye stronger. Possible chances of the eyes aligning exist, if you choose Vision Concern Eye Care Clinic for strabismus surgery in Nepal. The last and final option is surgery on the eye muscle for strabismus. To be precise, strabismus surgery is a procedure to correct misalignment of the eyes either by loosening or tightening the muscles of the eyes.
Ask your doctor to talk about the surgery to be performed, its method, the anesthesia used, the expected duration, and whether it is an inpatient or outpatient procedure. The steps involved in strabismus surgery include correcting misaligned eyes and first of all, the doctors apply anesthesia (a cautious sedation) before the operation. The second step involves making a small incision in the conjunctiva. It is a thin, transparent tissue covering the white part of the eye (sclera). The surgeon then identifies whether the eye muscles need to be operated on or not. If the muscle is tight, a retraction procedure is done to detach the muscle from the eyes and reattach it again. This allows the free movement of the eyes and solves issues of strabismus. In cases where the muscle is too weak, a resection procedure is used to shorten the muscle and remove the section that causes the muscle to pull. Once the muscle correction process is done, the surgeon sews the eye muscle to the sclera. This fine post-operative adjustment is known as suturing. At the end of the strabismus surgery, the conjunctiva is closed with dissolvable sutures. By understanding such a question, we can have a better understanding of the surgery that is scheduled for our strabismus.
There are several questions you can ask your doctor when you are conscious of the potential risks and side effects of strabismus surgery in Nepal.
There are certain postoperative care measures to prevent consequences. You are prescribed oral antibiotics you need to take for the first 5 days after the surgery in Nepal. TobraDex drops are also given to adults for a few days and can range up to 10 days after the strabismus surgery. Along with this pain relief medication, it is given to remove any discomfort, if any, after surgery.
The follow-up care includes ice or cold packs to reduce the swelling. Visit the doctor for follow-up appointments with an eye doctor. Also, notice any signs of danger, like swelling/pain, fever, bleeding, or sudden changes in eye alignment, if any. Immediately after the strabismus surgery, it's advisable not to be involved widely in heavy outdoor games or activities. Also, avoid swimming for at least 2 weeks if you are fond of it. It's strictly restricted to rubbing your eyes, as eyes can easily infect and cause irritation in such a scenario. Avoid hair washing to avoid soap and shampoo getting in the eyes. There are cautious steps you can take to prevent complications and monitor eye issues, if any.
There is a risk of both overcorrection and undercorrection associated with strabismus surgery in Nepal. This complexity of the eyes is not completely controlled, but major recovery is seen. Some of the risk involves statistical variation (issues in the statistical bell-shaped curvature of the eyes), and binocular vision risks can also be seen. In younger children, strabismus surgery remains controversial, as exotropia might not be taken into account for long-term alignment of the eyes. Patients should have realistic expectations, as there are risks of optimal alignment of around 10%. Vision therapy is recommended to improve eye coordination, correct visual alignment, and strengthen eye muscles after strabismus surgery. In some cases, additional surgery may be required to restore proper eye alignment.
| Comparison | Under correction | Overcorrection |
|---|---|---|
| Definition | Eye misalignment is not fully corrected | Eye alignment is corrected beyond the intended target |
| Outcome | Residual misalignment | Misalignment in the opposite direction |
| Symptoms | Double vision, eye strain, and limited binocular vision | Diplopia, eye strain, and binocular vision issues |
| Management | Prism adaptation, suture adjustment, and consultation for further intervention | Monitoring, additional procedures, prisms, or vision therapy |
| Scholarship | More access | Evening or weekend classes |
Under-correction in strabismus is a situation in which the eye alignment is not fully corrected. This can arise in surgery because of pre-operative measurement errors, intra-operative measurement errors, and excessive inflammation. The common signs and symptoms associated with under-correction in strabismus correction procedures include,
The eye turns inward, outward, upward, or downward, in this residual eye misalignment. This denotes that the surgery is not fully done.
Patients experience that the vision is hazy, double, or ghosting. This is why the eyes with under correction can face issues in having a proper focus on distant objects.
Eye strain is also seen in the under-correction of strabismus surgery. One faces fatigue from focusing on objects at near or far distances.
Binocular vision denotes the ability of one's person to see an object clearly when both eyes are focused on it. When both faces synchronize because of corrective eye surgery, clear depth perception and overall visual function may be impacted.
In under-correction, the eyes are not aligned properly, which denotes how an asymmetrical look is more concerned with the appearance of the eyes.
Once under-correction is noticed in strabismus surgery, you can consult your doctor and ask him about the treatment option. The treatment options include,
Prism adaptation places a temporary Fresnel prism on the patient's glasses to correct the full deviation of vision resulting from under-correction.
Adjustable sutures evaluate the strabismus surgery to improve the postoperative outcome. The adjustments can be made within a few hours or even after a delay of several hours to a few days. This is fine-tuning for eye alignment and corrections.
Patients can consult with an eye surgeon who specializes in strabismus surgery to conduct any alterations needed to treat the under-correction of the eyes. Vision Concern's supportive staffs and eye care expert, helps you correct your vision with required surgery procedure in Nepal.
Vision Concern is a reputed eye clinic in Nepal where you can find comprehensive eye care services, treatment of eye conditions, and eye surgery facilities. If you have any specific eye-related queries, you can ask the top eye expert and ophthalmologist by booking an appointment with us.
Yes, we provide emergency eye care for conditions like eye injuries, sudden vision loss, and infections. If you experience any urgent eye problems, please contact us immediately, and our team will assist you in getting the care you need.
Signs to watch for include blurry vision, floaters, sudden loss of vision, eye pain, redness, or sensitivity to light. If you experience any of these symptoms, it’s important to schedule an eye exam at Vision Concern Eye Clinic as soon as possible for early diagnosis and treatment.
If you’re experiencing blurred vision, headaches, or eye strain, it may be a sign that you need glasses or contact lenses. Our eye exams will help determine whether you need corrective lenses. We’ll also discuss your options based on your lifestyle and preferences, including glasses, contacts, or even refractive surgery like LASIK.
