Strabismus is misalignment of the eyes. Stroke, trauma, neurological problems, and Thyroid eye disease are common causes of adult strabismus. Most often adult strabismus is a result of prior pediatric strabismus. Unlike children, adults with new onset strabismus experience double vision, which can be quite debilitating. In adults, treatment may involve prism glasses for small deviations. For larger deviations, strabismus surgery is usually necessary.
Strabismus surgery loosens or tightens eye muscles, changing the alignment of the eyes. The procedure is performed under general anesthesia in a outpatient surgery center. After the procedure, it is normal for the white part of the eyes to be red for several weeks. The eyes are usually scratchy and sore with eye movement for a few days depending upon the exact surgery performed. Antibiotic/steroid drops are applied at the end of the surgery and continued at home for 1-2 weeks.