Our Summary

This study looked at the outcomes of patients who had eye muscle surgery for a condition called incomitant strabismus, even though they appeared normal when looking straight ahead. This research was done at Boston Children’s Hospital and involved 8 patients. The researchers looked at the strategies used during the surgery, measurements of the strabismus, and whether patients developed double vision after surgery. They found that no patient developed new double vision when looking straight ahead, the strabismus improved, and no patient needed another surgery. Both patients and surgeons were satisfied with the results. This suggests that even though there might be risks in operating on patients with this condition who appear normal when looking straight ahead, the surgery can improve their condition and satisfaction. The strategies used could also help other patients with the same condition.

FAQs

  1. What is the purpose of the study conducted at Boston Children’s Hospital regarding strabismus surgery?
  2. What were the results of the strabismus surgery on patients who appeared normal when looking straight ahead?
  3. Can the strategies used in this study help other patients with the same condition?

Doctor’s Tip

One helpful tip a doctor might tell a patient about strabismus surgery is to follow all pre-operative and post-operative instructions carefully. This can help ensure the best possible outcome and reduce the risk of complications. It is also important to communicate any concerns or changes in symptoms to your doctor promptly. Additionally, attending all follow-up appointments is crucial for monitoring progress and addressing any issues that may arise.

Suitable For

Patients who are typically recommended for strabismus surgery are those who have a misalignment of the eyes, also known as strabismus, that is affecting their vision, causing double vision, or impacting their quality of life. Incomitant strabismus, where the misalignment is more noticeable when looking in different directions, may also be a factor in recommending surgery. Patients who have tried other non-surgical treatments such as vision therapy, patching, or glasses with little success may also be candidates for strabismus surgery. Additionally, patients with neurological conditions or other underlying health issues that are causing the strabismus may also be recommended for surgery to improve their eye alignment and overall vision.

Timeline

Before strabismus surgery:

  1. Patient may experience misalignment of the eyes, leading to double vision, squinting, or impaired depth perception.
  2. Patient undergoes a comprehensive eye examination to determine the extent of the strabismus and to assess overall eye health.
  3. Patient discusses treatment options with an ophthalmologist, including the possibility of strabismus surgery.
  4. Patient schedules surgery and receives pre-operative instructions.

After strabismus surgery:

  1. Patient undergoes the surgical procedure to correct the misalignment of the eye muscles.
  2. Patient may experience some discomfort, swelling, or redness in the eye following surgery.
  3. Patient is monitored closely by medical staff to ensure proper healing and alignment of the eyes.
  4. Patient may need to wear an eye patch or use eye drops as part of the post-operative care.
  5. Patient attends follow-up appointments to assess the success of the surgery and make any necessary adjustments.
  6. Patient experiences improved alignment of the eyes, reduced double vision, and improved visual function.
  7. Patient’s satisfaction with the results of the surgery is evaluated, with the goal of achieving optimal outcomes and overall patient satisfaction.

What to Ask Your Doctor

  1. What are the potential risks and complications associated with strabismus surgery?
  2. What is the success rate of strabismus surgery for my specific case?
  3. What type of anesthesia will be used during the surgery?
  4. How long is the recovery period after strabismus surgery?
  5. Will I need to wear an eye patch or use eye drops after the surgery?
  6. Will I need to follow a specific post-operative care regimen?
  7. Are there any alternative treatments or therapies that could be considered before opting for surgery?
  8. How many strabismus surgeries have you performed, and what is your experience in treating this condition?
  9. What are the expected long-term outcomes of strabismus surgery for me?
  10. Are there any specific lifestyle changes or precautions I should take after the surgery to prevent recurrence?

Reference

Authors: Phanphruk W, Hennein L, Hunter DG. Journal: Am J Ophthalmol. 2023 May;249:29-38. doi: 10.1016/j.ajo.2022.12.019. Epub 2022 Dec 27. PMID: 36581192