Squint correction surgery is a surgical procedure done to correct a condition called Strabismus. 

In this condition, when you are looking at something your eyes don't align properly. This procedure focuses on treating the extraocular muscles to treat this condition.

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About the Surgery

Squint correction is for squint eyes, it is about tightening of the muscles, physical examination is mandatory.

1.Overview: The surgeon detaches part of the muscle connected to the eye and moves it into a new position so that eyes point in the same direction. The muscles are fixed in their new position with dissolvable stitches. 

2.Snapshots:

  • Procedure Type: Tightening of the loose muscle
  • Anesthesia: Local anesthesia
  • Hospitalization: day care
  • Procedure time: 30-90 minutes
  • Recovery Time: up to a week

3.Post-Surgical Care: 

  • Avoid swimming, contact sports and vigorous exercises for 2-4 weeks after surgery
  • Do not drive for at least a day or 2
  • Try not to get soap/shampoo in the eyes
  • Do not use make-up for 4 weeks
  • The kid should not play in sand or use face paint for 2 weeks

4.Advantages of this Procedure: Elimination of eye conditions such as double visions, eyestrain and fatigue. Restoration of normal eye function. It id a quick procedure and not tedious for the patient or family.

Squint is also referred to as strabismus.

It is a condition where eyes point in different directions. One eye is in the direction the affected person intends to look at and the other eye could turn out, in, down, or up.

Although this condition can occur at any age, it is commonly observed in children. 

Although this condition may correct itself, it has chances to reappear. Hence, treatment is generally recommended by the doctor to correct the squint.

Squint may lead to vision problems if not treated early as observed. If left untreated, there are chances of vision loss as well.

To repair squint, the eye muscles are operated on to correct the imbalance in them. 

This surgery is mostly performed on children, though it may be used for adults as well.

The doctor at the outset may start with conservative ways like eye exercises and eyeglasses to correct strabismus. If the condition does not show significant improvement, the doctor may resort to surgery.

  • You may be recommended for a full body checkup prior to the surgery.
  • The doctor then measures if your eye muscles are weaker or stronger. ​

  • The doctor may discontinue any medications you may be consuming a couple of days before and after the surgery. These generally include medications, which increase bleeding, and any other over-the-counter drugs or supplements the patient might be consuming. 

  • The doctor may instruct you to fast for a few hours before the surgery such that it does not interfere with the anesthesia and later cause nausea or vomiting.

  • Children generally undergo this procedure under general anesthesia, such that they are sleeping throughout the procedure. Adults may be given local anesthesia to only numb the region around the eye. ​

The surgeon makes a small incision in the conjunctiva of your eye. Conjunctiva is the clear membrane that covers the white of the eye.

From here, the surgeon approaches your eye muscles to stretch them or shorten them correctly positioning the eye. The surgery is completed within 90 minutes. Patients with strabismus detected in both eyes will undergo surgery for both eyes.

If the surgery is performed to shorten and further strengthen your eye muscles, the process is called resection. In this, the surgeon removes a section of the muscles or an adjoining tendon.

If the surgery is performed to stretch or weaken your eye muscle, the process is called recession. Here, the muscle is repositioned further behind at the back of the eye.

It is an outpatient procedure; you will be sent home the same day. Minor discomfort is expected for a few weeks until the muscles of your eye recover and heal completely from the surgery.

In this duration, you must avoid touching the eyes and scratching them. The doctor may prescribe antibiotic eye drops to prevent infections to the eye. 

The doctor schedules checkup visits to ensure evaluation of recovery post-surgery. 

As strabismus leads to impaired vision, you may have to continue wearing glasses or contacts. 

Children having strabismus even after surgery may have to continue wearing an eye patch on the stronger eye, to help the weaker eye practice and strengthen it. 

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FAQs and Related Articles

Squint surgery is used to treat the abnormal deviation of the eyes (medical term- strabismus). This surgery is performed under general anesthesia for children under the age of 14 whereas those above 14 years are treated using local anesthesia. The choice of anesthesia may also depend on the need and health condition of the patient.

The eyes may be red, itchy and painful. Patient may also experience double vision while recovering from his surgery. These should typically go away within a few weeks after the surgery. 

They may include: 

  • An infection around the eye.

  • Requirement of an additional surgery, if the squint is severe.

  • Displaced eye muscles.

  • Permanent double vision.

  • Loss of vision (rare).

It usually takes several weeks and depends on the individual patient’s response to the surgery.

Every surgery has its complication and one must visit the doctor immediately on the noticing the following:

  • Increased pain

  • Redness and itching

  • Swelling or pus formation around the operated eyes

  • Fever

  • Blindness after surgery

It may lead to constant double or blurred vision, can affect the depth perception, lead to a lazy eye and can cause low self-esteem.

Squint in rare cases can occur due to other diseases like:

  • Genetic conditions e.g. Down's syndrome.

  • Infections e.g.  measles

  • Developmental anomalies

  • Problems associated with nerves and the brain

  • Cerebral palsy

A squint can also sometimes be associated with a rare type of eye cancer called retinoblastoma seen particularly in children. Parents must take the child to an ophthalmologist to diagnose the condition effectively.

Squint surgery can cause some temporary side-effects such as red, itchy and painful eyes. S/he may experience double vision also while recovering.

Several weeks are required to recover from squint surgery. However, it also depends upon the individual and his/her response to the surgery.

Increased pain, redness and itching, fever, blindness and swelling or pus formation around the operated eyes.

It can lead to constant double or blurred vision. It can affect depth perception, cause lazy eye and lead to lows self-esteem.

Squint in rare cases can be due to diseases such as genetic conditions, infections, developmental anomalies, cerebral palsy or problems with nerves and brain.

It aims at preserving and restoring the vision, straightening the eyes and restoring 3D vision.

Squint correction is better when done as early as possible. In children, it restores/improves vision as well as 3D vision. In adults, it depends upon factors such as the patient’s needs and is usually for cosmetic correction.

If surgery is required, glasses will not be enough to correct the squint.

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