The eye is still misaligned after strabismus surgery.
Nov 19, 2025
Source: Cainiu Health
Dr. Wang Lei
Introduction
After strabismus surgery, if the eye remains misaligned, improvements can be achieved through timely follow-up evaluations, postoperative visual training, adjustment of the recovery plan, medication-assisted regulation, or corrective second surgery. The approach should be tailored according to the postoperative recovery stage and specific underlying causes. If strabismus persists long-term after surgery or symptoms such as eye pain or vision loss occur, prompt medical consultation is recommended.
After strabismus surgery, if the eyes still appear misaligned, improvements can be achieved through timely follow-up evaluations, postoperative visual training, adjusted recovery plans, medication-assisted regulation, or secondary surgical correction. The approach should be tailored according to the stage of postoperative recovery and the underlying causes. If strabismus persists long-term after surgery or symptoms such as eye pain or vision loss occur, prompt medical consultation is recommended.
1. Timely Follow-up Evaluation: Regular follow-up visits are necessary according to medical advice. Tests such as measurement of strabismus angle and fundus examination help identify the cause of residual misalignment—whether due to postoperative swelling, muscular adjustment, or insufficient surgical correction.
2. Postoperative Visual Training: For cases where binocular vision function has not fully recovered, treatments like fusion training and synoptophore exercises can enhance coordination between the eyes, improve minor residual strabismus, and increase visual stability.
3. Adjusting Recovery Plan: If muscle function is affected by postoperative inflammation or edema, anti-inflammatory medications may need adjustment under a doctor’s guidance. In cases of muscle spasm during recovery, warm compresses and relaxation exercises may help alleviate symptoms.
4. Medication-Assisted Regulation: For temporary strabismus caused by abnormal eye muscle regulation after surgery, medications that nourish nerves and relieve muscle spasms may be used under medical supervision to support functional recovery.
5. Secondary Surgical Correction: If significant strabismus remains unchanged for more than six months post-surgery and the deviation angle has stabilized, reoperation may be considered. This involves adjusting the position of the extraocular muscles to correct residual misalignment based on evaluation results.
After surgery, avoid prolonged monocular use of the eyes, maintain ocular hygiene to prevent infection, minimize exposure to bright light and eye strain, consume a diet rich in vitamins to support healing, and perform eye exercises as instructed by your doctor to promote binocular coordination.
