Our Summary

This research paper discusses the use of minimally invasive strabismus surgery (MISS), a type of eye surgery performed through tiny openings. This technique is becoming more common because it often leads to better results, faster recovery, and less discomfort after surgery. It also reduces the risk of complications affecting the cornea, the clear front surface of the eye. MISS can be used for all types of strabismus surgery, which corrects misaligned eyes. However, there haven’t been any randomized trials comparing MISS with traditional surgery methods, so more research is needed to fully understand its benefits and role in treating eye conditions.

FAQs

  1. What is minimally invasive strabismus surgery (MISS)?
  2. What are the potential benefits of using MISS over traditional surgery methods?
  3. Has there been any comparative research between MISS and traditional strabismus surgery methods?

Doctor’s Tip

A doctor may advise a patient undergoing strabismus surgery to follow post-operative instructions carefully, including using prescribed eye drops, wearing an eye patch as directed, and avoiding strenuous activities that could strain the eyes. They may also recommend attending follow-up appointments to monitor progress and make any necessary adjustments to the treatment plan. Additionally, the doctor may suggest practicing eye exercises to help improve coordination and strengthen eye muscles following surgery.

Suitable For

Patients who are typically recommended for strabismus surgery include those with:

  1. Constant or intermittent strabismus: Patients with misaligned eyes that are always or sometimes misaligned may benefit from strabismus surgery to improve their alignment.

  2. Diplopia (double vision): Patients experiencing double vision due to misaligned eyes may be recommended for strabismus surgery to help alleviate their symptoms.

  3. Amblyopia (lazy eye): Patients with amblyopia, a condition where one eye has reduced vision, may benefit from strabismus surgery to improve visual function and alignment.

  4. Failed or incomplete response to non-surgical treatments: Patients who have not responded well to other treatments such as glasses, eye patches, or vision therapy may be recommended for strabismus surgery to correct their eye alignment.

  5. Cosmetic concerns: Patients who are bothered by the appearance of their misaligned eyes may opt for strabismus surgery for cosmetic reasons.

It is important for patients to undergo a comprehensive eye examination and consultation with an ophthalmologist specializing in strabismus to determine if they are suitable candidates for surgery and to discuss the potential risks and benefits of the procedure.

Timeline

Before strabismus surgery:

  1. Consultation with an ophthalmologist to discuss treatment options and potential risks and benefits of surgery.
  2. Pre-operative evaluation including a comprehensive eye exam, measurements of eye alignment, and discussions about anesthesia options.
  3. Patient may need to undergo additional tests such as blood work or imaging studies.
  4. Patient may be advised to stop taking certain medications or adjust their diet before surgery.

After strabismus surgery:

  1. Patient will need someone to drive them home after surgery as they may experience blurred vision or light sensitivity.
  2. Patient may experience discomfort, redness, swelling, or bruising around the eye(s) that were operated on.
  3. Patient will need to use prescribed eye drops or medications to prevent infection and reduce inflammation.
  4. Follow-up appointments with the ophthalmologist to monitor healing progress and ensure proper alignment of the eyes.
  5. Patient may be advised to avoid strenuous activities or heavy lifting for a period of time after surgery.
  6. Patient may need to wear an eye patch or special glasses to protect the eyes during the healing process.
  7. Recovery time varies but most patients can return to normal activities within a few days to a few weeks after surgery.

What to Ask Your Doctor

  1. What are the potential risks and complications associated with strabismus surgery, and how common are they?
  2. How long is the recovery period after strabismus surgery, and what can I expect in terms of pain and discomfort?
  3. Will I need to wear an eye patch or use eye drops after surgery, and for how long?
  4. What are the success rates for strabismus surgery, and how likely is it that my eyes will be aligned properly after the procedure?
  5. Are there any non-surgical treatment options available for strabismus that I should consider before undergoing surgery?
  6. How experienced are you in performing strabismus surgery, and how many procedures have you done in the past?
  7. Will I need to undergo any additional testing or evaluations before the surgery, such as an eye exam or imaging tests?
  8. Are there any specific pre-operative instructions I should follow, such as avoiding certain medications or foods?
  9. How long will the effects of the surgery last, and will I need to undergo additional procedures in the future?
  10. What post-operative care will be necessary, and when can I resume normal activities such as driving and working?

Reference

Authors: Asproudis I, Kozeis N, Katsanos A, Jain S, Tranos PG, Konstas AG. Journal: Adv Ther. 2017 Apr;34(4):826-833. doi: 10.1007/s12325-017-0498-7. Epub 2017 Mar 1. PMID: 28251554