How Squint (Strabismus) Surgery is Performed
There are six different muscles attached to the outside of each eyeball that control its movements. During a squint operation, the surgeon adjusts the tension of these muscles—weakening some and strengthening others—to pull the eyes into straight alignment.
At Utsav Eye Clinic, we utilize the latest fornix incision technique. Unlike older procedures, this technique places incisions in the natural folds under the eyelids. This translates to faster healing, less pain, and a much better cosmetic result with no visible scarring. We also utilize adjustable sutures in appropriate adult cases, which allows fine adjustments to the alignment shortly after the surgery for a perfect result.
Anesthesia and the Procedure
- Children: Performed under safe general anesthesia. The child is asleep and feels no discomfort. Fasting is required for 4 to 6 hours beforehand.
- Adults: Done under local anesthesia drops and numbing blocks. The patient remains awake but comfortable.
- Daycare Procedure: Squint surgery is a daylight procedure. The patient arrives, undergoes surgery, and is discharged on the same day.
Recovery & After-Care
Recovery is generally rapid. Post-operative guidelines include:
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Eye Pad: A temporary eye pad may be placed, which is removed on the same or next day. No bandage is required at home.
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Activities: Normal tasks like reading, watching TV, and walking can be resumed immediately. Children can return to school in 2-3 days; adults return to work in 3-4 days.
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Eye Drops: Mild anti-inflammatory eye drops are prescribed for 4 weeks to reduce redness and promote healing.
Risks & Complications
Squint surgery is a highly safe procedure. Vision-threatening complications are extremely rare.
- Redness: The eye will look red. This is normal and fades over 3 to 4 weeks.
- Double Vision: Temporary double vision may occur as the brain adjusts to the new position of the eyes. This typically resolves in a week.
- Over/Undercorrection: In a small percentage of cases, minor misalignment may persist, which can be managed with glasses or a minor touch-up procedure.