Strabismus Surgery: What It Is, How It Works, and What to Expect

When your eyes don’t line up — one turns in, out, up, or down while the other looks straight — you have strabismus, a condition where the eyes point in different directions, often called crossed eyes or wall eye. Also known as squint, it’s not just a cosmetic issue; it can cause double vision, depth perception problems, and even permanent vision loss if untreated. Strabismus surgery, a procedure that adjusts the muscles around the eye to realign them, is one of the most common and effective treatments, especially for children but also for adults who’ve lived with it for years. It’s not brain surgery. It’s not laser surgery. It’s a precise, well-tested fix for the muscles that control where your eyes look.

Most people think strabismus is just about looks, but it’s really about how the brain and eyes work together. If one eye is misaligned, the brain may start ignoring its input to avoid double vision — a process called suppression. Over time, that eye can lose vision entirely, a condition called amblyopia. That’s why early treatment matters. Eye muscle surgery, the technical name for strabismus correction, is often the best way to reset that system — especially when glasses or patches haven’t worked. The surgeon doesn’t touch the eyeball. They make a tiny incision in the tissue covering the eye, find the muscle that’s too tight or too weak, and either shorten it, lengthen it, or reposition it. It’s done under general anesthesia for kids, and sometimes just local for adults. Most people go home the same day.

Recovery is usually quick. You might have redness, mild swelling, or blurry vision for a few days. Some people feel like they have sand in their eyes. It’s not painful, but it’s noticeable. You won’t need stitches that come out — most are dissolvable. Kids often bounce back in a week. Adults might take a bit longer to adjust, especially if their brain has been ignoring one eye for years. Sometimes, a second surgery is needed, but most get good results from just one.

What you won’t find in most doctor’s offices is the full picture: how this surgery connects to daily life. Can you drive afterward? Can you still wear contacts? Does it help with headaches from eye strain? These are the questions real people ask — and the answers are buried in patient stories, post-op guides, and long-term studies. Below, you’ll find practical advice from people who’ve been through it — whether they’re parents of a child with strabismus, an adult finally fixing a lifelong issue, or someone managing side effects after surgery. No fluff. Just what you need to know before, during, and after.

Strabismus: Understanding Eye Misalignment and When Surgery Is Needed

Strabismus is a common eye misalignment that can affect vision and confidence. Learn how glasses, patches, and surgery can correct it, what to expect from treatment, and why early intervention matters for lasting results.