Can strabismus and myopia be treated at the same time?

Written by Li Zhen Dong
Ophthalmology
Updated on September 09, 2024
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Surgery for strabismus and myopia cannot be performed at the same time.

Strabismus involves surgery to adjust the eye muscles. There are two surgical methods for myopia: one is corneal laser ablation surgery, and the other is ACL surgery. Myopia surgery mainly requires stable vision, the patient must be over 18 years old, have a strong desire to stop wearing glasses, and have a clear diagnosis from examinations, then surgery can be considered. Strabismus must be classified; early stage paralytic strabismus is generally not advised for surgery. Concomitant strabismus may be treated surgically. If there is also refractive error, dilated refraction and prescription glasses should also be considered.

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Written by Li Zhen Dong
Ophthalmology
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Do both eyes undergo strabismus surgery at the same time?

Whether strabismus surgery is performed on one eye or both eyes at the same time depends on the degree of strabismus, the condition of the dominant eye, and the nature of the strabismus, such as concomitant strabismus, paralytic strabismus, etc. It needs to be decided whether one eye or both eyes should be operated on. If the degree is quite severe, operating on the muscles of one eye may not resolve the issue, and it might be necessary to operate on the muscles of the other eye as well. However, a maximum of three rectus muscles can be operated on in one eye at the same time. Operating on more can lead to some complications. Therefore, whether to operate on one eye or both eyes should be determined based on the patient's actual condition.

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Written by Tao Yuan
Ophthalmology
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Why does closing one eye correct strabismus?

When a patient with strabismus closes one eye, the other deviated eye automatically returns to the correct position, which is a normal phenomenon. Strabismus refers to the direction of the eyes' gaze not being parallel; when one eye is looking straight ahead at a target, the gaze of the other eye will deviate. Based on the direction of deviation, strabismus can be classified into several types such as esotropia (inward deviation), exotropia (outward deviation), and vertical strabismus. When one eye is covered, the originally deviated eye will move to the correct position to clearly see the target directly in front; however, the covered eye will then exhibit deviation. Therefore, strabismus is not eliminated but merely appears from an external perspective that the deviated eye has returned to its normal position. To completely eliminate the symptoms of strabismus, surgery is required for correction.

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Written by Li Zhen Dong
Ophthalmology
46sec home-news-image

Can strabismus and myopia be treated at the same time?

Surgery for strabismus and myopia cannot be performed at the same time. Strabismus involves surgery to adjust the eye muscles. There are two surgical methods for myopia: one is corneal laser ablation surgery, and the other is ACL surgery. Myopia surgery mainly requires stable vision, the patient must be over 18 years old, have a strong desire to stop wearing glasses, and have a clear diagnosis from examinations, then surgery can be considered. Strabismus must be classified; early stage paralytic strabismus is generally not advised for surgery. Concomitant strabismus may be treated surgically. If there is also refractive error, dilated refraction and prescription glasses should also be considered.

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Written by Tao Yuan
Ophthalmology
1min 5sec home-news-image

Will strabismus get worse if not operated on?

Strabismus left untreated may either worsen or remain stable. Strabismus is a common eye condition where the eyes do not look in the same direction. When one eye looks directly at an object, the other eye may be misaligned. Depending on the direction of the misalignment, strabismus can be classified into different types such as esotropia, exotropia, and hypertropia. Moreover, based on the different causes of strabismus, it can be divided into accommodative strabismus, paralytic strabismus, concomitant strabismus, and restrictive strabismus. Patients need to visit the ophthalmology department of a hospital for a comprehensive strabismus examination to diagnose the specific type of strabismus, and then receive the corresponding treatment to improve symptoms. For example, accommodative strabismus can be corrected with glasses to adjust refractive errors, thereby eliminating the symptoms of strabismus, while non-accommodative strabismus may require surgical treatment for a cure.

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Written by Li Zhen Dong
Ophthalmology
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Can strabismus be redone if it recurs?

After strabismus surgery, if the eye alignment is still incorrect, reoperation should be considered only after six months. Additionally, one should consider the uncorrected visual acuity, corrected visual acuity, eye movement, and the condition of the eye muscles to determine whether the issue is due to refractive errors or eye muscle paralysis. Reoperation must be approached with caution. The primary cause of strabismus is an issue with the eye muscles, and this can lead to various eye diseases. Therefore, it is crucial to conduct thorough ophthalmological examinations and pay attention to the eye movement and the condition of the binocular vision system.