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Friday, 8/8/2025 | 08:02 GMT+7

When is strabismus surgery necessary?

My 4-year-old son has strabismus and is wearing glasses to correct it. When can he have surgery? (Hai An, Ha Noi)

Answer:

Strabismus is a condition where the eyes look in different directions, lacking coordination. It can be corrected with glasses or surgery. Strabismus surgery adjusts the eye muscles to achieve proper alignment. The surgery, applicable to both adults and children, improves vision and appearance.

Strabismus surgery isn't suitable for everyone and requires a doctor's recommendation. Since you haven't provided details about your son's condition, it's difficult to assess the severity and offer specific advice. Generally, surgery is recommended for children and adults with severe strabismus impacting vision, psychological well-being, and appearance. Some contraindications for surgery include children under 18 months old, individuals with oculomotor nerve damage, pregnant or breastfeeding women, and those with unstable cardiovascular or neurological conditions.

To determine if your son needs surgery, take him to an ophthalmologist for necessary checks like eye exams, strabismus assessments, and refractive error tests, along with a general health examination.

Associate Professor Hien (left) performs strabismus surgery on a child. Photo: Tam Anh General Hospital

Associate Professor Hien (left) performs strabismus surgery on a child. Photo: Tam Anh General Hospital

Strabismus surgery is typically done under local anesthesia for adults and general anesthesia for children. A pre-anesthesia examination helps determine the appropriate method. The surgery usually takes about 30 minutes, and patients can go home the same day. Post-surgery, follow-up appointments are necessary to monitor eye muscle function, vision, and overall eye stability.

Strabismus surgery has a high success rate, often around 90%. Side effects like swelling, redness, and itching are usually not cause for concern and subside within a few days or weeks. Other complications are rare.

Associate Professor Nguyen Thi Thu Hien

Head of the Refractive Department,

High-Tech Eye Center

Tam Anh General Hospital

Readers can submit questions about eye diseases here for doctors to answer.
By VnExpress: https://vnexpress.net/bi-lac-mat-khi-nao-can-mo-4924024.html
Tags: eye surgery eye disease strabismus

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