Where is the incision made for strabismus surgery?

Nov 18, 2025 Source: Cainiu Health
Dr. Wang Lei
Introduction
The incisions for strabismus surgery are primarily located on the conjunctival surface within the eyelid—that is, on the mucosal tissue covering the surface of the eyeball. In some special cases, additional incisions may be made near the corneal limbus. All these incisions are situated in concealed intraocular locations and are not easily visible externally. If preoperative examinations reveal ocular infections, inflammation, or other issues, it is recommended to seek timely medical treatment before reassessing surgical eligibility.

The incisions for strabismus surgery are primarily made on the conjunctival surface inside the eyelid—that is, on the mucosal tissue covering the eye's surface. In some special cases, additional small incisions may be made near the corneal limbus. All these incisions are located in concealed intraocular areas and are not easily noticeable externally. If preoperative examinations reveal infections or inflammation in the eye, it is recommended to seek timely medical treatment before reassessing surgical eligibility.

The conjunctival incisions are placed within the natural folds of the conjunctiva on the eye's surface, where blood supply is rich and healing capacity strong. During surgery, the conjunctiva is separated to expose the extraocular muscles, allowing procedures such as muscle shortening or repositioning. After surgery, the conjunctiva heals naturally without leaving visible external scars.

In special cases, such as complex strabismus correction, tiny auxiliary incisions may be made near the corneal limbus to allow more precise adjustment of the extraocular muscles. These incisions are also well-concealed and, once healed, remain covered by the eyelids, thus having no impact on appearance and causing no damage to critical visual structures like the cornea.

After surgery, maintain good ocular hygiene by avoiding exposure to dirty water and refraining from rubbing the eyes. Use prescribed anti-inflammatory eye drops as directed to minimize irritation. Avoid prolonged eye use and strenuous physical activity, and follow a light diet to promote proper wound healing.