Explore the treatment options for Strabismus Disorders. From corrective lenses and eye exercises for strabismus to advanced strabismus surgery.
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Treatment and Procedures
The journey to correcting Strabismus Disorders often begins with non surgical interventions. The first and most critical step for many is the use of corrective eyeglasses. If an eye turn is caused by the eye struggling to focus (accommodative esotropia), simply wearing the correct prescription can often straighten the eyes completely. Prisms can also be added to glasses to bend the light and “trick” the brain into seeing a single image, which is particularly helpful for adults suffering from double vision. These non invasive methods are the foundation of clinical care and are always explored before moving to more intensive procedures.
If a patient has developed strabismus vs amblyopia complications, patching therapy is frequently used. The goal is to strengthen the “weak” eye by covering the “strong” eye for a specific number of hours each day. This forces the brain to process information from the misaligned eye, preventing or reversing vision loss.
Patching does not typically straighten the eyes, but it ensures that both eyes have good vision, which significantly increases the success rate of any future surgery. Consistency is the key to this therapy, and our team at Liv Hospital provides support to help families stay on track.
Vision therapy, which includes specific eye exercises for strabismus, is a specialized program designed to improve the brain’s ability to coordinate the eyes. These exercises are not about strengthening the eye muscles (which are already very strong) but about improving the neurological “software” that controls them.
While exercises are not a “cure-all” for every type of eye turn, they are highly effective for certain conditions like convergence insufficiency and can be a vital supplement to other treatments.
In some clinical cases, botulinum toxin (Botox) injections may be used as a temporary or permanent treatment for Strabismus Disorders. A small amount of the toxin is injected into an overactive eye muscle, causing it to relax. This allows the opposing muscle to pull the eye into a straighter position. This can be used to treat certain adult cases or as a diagnostic tool before surgery. While the effect is often temporary, it can sometimes provide long term relief or help the brain “relearn” how to use the eyes together without a major operation.
If glasses, prisms, and exercises are not enough to align the eyes, strabismus surgery is the recommended course of action. The decision for surgery is usually made when the eye turn is large, constant, or interfering with the development of binocular vision. It is important to understand that the surgery is performed on the muscles surrounding the eye, not the eye itself. The goal is to physically adjust the “tensions” of the muscles to allow the eyes to point in the same direction. This is a common and highly successful procedure for both children and adults.
During the operation, which is typically performed under general anesthesia, the surgeon makes a small incision in the conjunctiva (the clear tissue over the white of the eye) to access the muscles.
The surgeon uses microscopic sutures to attach the muscles in their new positions. These sutures are usually dissolvable and do not need to be removed. The surgery can be performed on one or both eyes depending on the pre-surgical measurements.
For many adult patients, surgeons at Liv Hospital use a specialized “adjustable suture” technique. During the surgery, the muscles are attached with a bow-tie knot that can be adjusted later. After the patient is awake and alert, the surgeon checks the alignment. If the eyes are not perfectly straight, the knot can be tightened or loosened in the recovery room to fine-tune the result. This technique allows for a much higher level of precision and significantly reduces the need for “touch up” surgeries in the future.
The success of treatment for Strabismus Disorders depends on the age of the patient and the type of turn. In children, the primary goal is to achieve alignment early enough for the brain to develop 3D vision. In adults, the goal is often to eliminate double vision and improve the cosmetic appearance. While one surgery is often enough to achieve excellent results, some patients with complex muscle issues may require more than one procedure over their lifetime. Our clinical team provides a realistic outlook based on your specific diagnostic profile.
The success of treatment for Strabismus Disorders depends on the age of the patient and the type of turn. In children, the primary goal is to achieve alignment early enough for the brain to develop 3D vision. In adults, the goal is often to eliminate double vision and improve the cosmetic appearance. While one surgery is often enough to achieve excellent results, some patients with complex muscle issues may require more than one procedure over their lifetime. Our clinical team provides a realistic outlook based on your specific diagnostic profile.
While we encourage you to contact Liv Hospital for specific information, it is helpful to understand general global price ranges for these treatments. Non surgical options like glasses and vision therapy typically range from $200 to $1,000 depending on the complexity and duration. Surgical procedures are more significant, often ranging from $3,000 to $8,000 per eye globally, which covers the facility, anesthesia, and the specialist’s fees. Investing in professional care early is a cost effective way to prevent the long term social and medical costs of untreated vision loss.
Treating Strabismus Disorders is a journey that requires patience and expertise. Whether the path involves simple glasses or advanced surgery, the goal remains the same: to help the patient see the world clearly and with both eyes together. At Liv Hospital, we provide a supportive environment where every treatment is backed by science and delivered with compassion. By addressing the physical, neurological, and cosmetic aspects of the disorder, we help our patients achieve a better quality of life and a brighter visual future.
Send us all your questions or requests, and our expert team will assist you.
No, muscle surgery is performed using traditional microscopic instruments; lasers are used for vision correction like LASIK, but not for moving eye muscles.
Yes, children always receive general anesthesia to ensure they are safe and still during the delicate muscle adjustments.
For some types of drift, yes; but for many mechanical or large eye turns, exercises alone are not enough to physically move the eyes into alignment.
For most patients, the results are long lasting, but because the brain controls the eyes, shifts can sometimes occur years later that require further care.
Yes, the white of the eye will be quite red for a few weeks after surgery, similar to a bruise; this is a normal part of the healing process.
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