Miscellaneous Squints

Crossed eyes cannot be considered a mild condition. It must be addressed immediately, through various therapies to squint eye surgery. Although squint eye surgery is generally performed on children who have symptoms of squint, it can also be performed on adults, especially if non-surgical therapy does not produce satisfactory results. The purpose of cross eye surgery is to correct imbalances in the eye muscles. It is important to deal with the squint condition immediately because if it is not treated, there is a possibility of permanent loss of vision.

Eye Nerve Disorders

Crossed eyes occur when both eyes cannot look at the same object or direction. When one eye looks outward, the other eye is inward. Or, when one eye looks up, the other eye moves in the opposite direction. Most cases of squint have occurred since birth. The cause is often not known with certainty, but it might be related to the nervous system that controls eye muscles, tumors, or other eye diseases. If left unchecked, squinting eyes can trigger double vision, headaches, and even blindness. As an initial step to overcome this problem, patients will be asked to do eye muscle strengthening exercises. Some cases of squinting can also be treated using eye glasses or eye patches aimed at maximizing the work of the weak side of the eye. Cross-eyed surgery procedures are carried out if the methods above do not show the expected improvement. Before you undergo cross-eyed surgery, consult a doctor about the risks of surgery. In general, every operation has a risk of bleeding and infection. In addition, there are also risks from anesthesia, one of which is respiratory disorders. Specifically for squint surgery, the risk is rare but possible, namely double vision or permanent eye damage. Squint surgery is a relatively short procedure, approximately 1.5 hours. The following are the steps from the preparation of the surgery to the operation.

Operation Preparation

Before cross-eyed surgery, it is possible that the doctor will do cross-eyed surgery:
  • Check your overall physical and eye condition, including measuring eye movements to estimate the type of surgery (strengthening or weakening the eye muscles, which muscles are affected) to be performed.
  • Ask you not to take drugs such as aspirin, ibuprofen, warfarin, heparin, etc. for 10 days before surgery to avoid the risk of bleeding.
  • Ask for some important information such as a history of allergies, including allergic to drugs, latex, soap, or certain skin cleansers.
  • Asking you to fast before cross-eyed surgery to avoid anesthetic reactions such as nausea and vomiting. The doctor will tell you when you were last allowed to eat before the operation.

Operating Procedure

The following are the steps that the doctor will take when performing cross-eyed surgery:
  • The doctor will determine what type of anesthesia to use. Squint surgery in children usually uses general anesthesia which makes them sleep and feel no pain. Meanwhile, in adults, usually only using local anesthesia that makes numb around the eyes.
  • After the anesthesia is working, the doctor will make an incision in the conjunctiva or the lining of the eye.
  • The doctor will then begin to look for the location of eye muscles that need to be strengthened or weakened. To strengthen the eye muscles, the muscles will be shortened. In addition to muscle, this strengthening can also be done on the tendon as a connecting muscle. Conversely, to weaken the muscle, the doctor will extend the point of the muscle in the back of the eye.

Postoperative Care

Generally squint eye surgery does not require hospitalization. However, it takes time for you to completely recover from the effects of anesthesia. After that, you will be allowed to go straight home. You will likely feel pain and itching in the eyes a few days after surgery, but as much as possible avoid touching or rubbing the eyes. The doctor will prescribe ointments / drops if needed. The doctor will tell you when to do a postoperative check. Generally, you will be asked to do an examination about 1-2 weeks after surgery. In some cases, further treatment is needed especially if there is vision loss despite surgery. The treatment includes the use of special eye glasses or eye patches. Its use depends on the condition of each patient. If allowed to drag on, cross-eyed conditions can trigger other visual disturbances in children and adults. Consult with your doctor about the possibility of cross-eyed surgery, if various non-surgical therapies do not show any improvement.

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