Visit Our Blog
678.892.2020

Eye Muscle Surgery in Children

If your child will be having eye muscle surgery in the near future, you may have many questions at this point as to what will happen before and after the surgery. Please review the following information, which should answer many of your questions. If you have other questions which are not answered here, please take the time to write them down so that we may answer them for you during your pre-operative appointment.

Eye muscle surgery is done as an outpatient at the hospital, most often under general anesthesia. Before the surgery, we take careful measurements of the eye position which enables us to determine which muscles to operate on, whether we will operate on one or both eyes, and how much need to move the muscles to achieve good eye position after the surgery. Taking these measurements may involve several appointments. We are very careful because the success rate of eye muscle surgery is not 100 percent. The success rate of eye muscle surgery is 60-80 percent. This means that on the average, 7 out of 10 persons who undergo eye muscle surgery will achieve a good result with only one procedure. The remaining three persons may, at some point, be benefited by additional surgery for good eye position. The success rate of each surgery is always the same, 60-80 percent.

Starbismus surgery to correct the eye position is a commonly done procedure. It does not involve cutting into the eyeball, nor does it require that the eye be “taken out” in order to reach the muscle. A small incision into the transparent covering of the eye (the conjunctiva) is made to reach the muscle. The muscle is then repositioned and rattached with tiny sutures, and the conjunctiva is also closed with tiny sutures, which willdissolve by themselves over the next 1-2 weeks. Once the surgery is completed, your child mauy go home after awakening. Most patients spend several hours in the outpatient surgery area, and go home in the mid-afternoon if the surgery was done in the morning. IN most cases, there are no patches or bandages over the eyes following the surgery. Glasses, if worn, may be re-started after the surgery. Please do remember to bring them with iyou on your postoperative visit. If your child is wearing a patch, e will discuss this with you at the time of the first postoperative visit.

After the surgery, the eyes will be quite red in the areas where the surgery was done, and may have a jelly-like swelling. This is normal and will clear over the next few weeks. Sometimes, the redness spreads before clearing, but do not be alarmed. Antibiotic eye drops will be prescribed for use after the surgery, and will be used for 5-7 days, according to the doctor’s instructions. The discomfort following eye muscle surgery is usually minimal with a foreign body sensation in the eyes or some discomfort on movement of the eyes for a day or two. Pain medicine is usually not necessary; however, you may use Tylenol as needed. Some people may experience transient double vision after the surgery. This is a normal part of healing as the brain must “get used” to the new position of the eyes. The double vision is usually completely gone within a few days of the surgery, but in some instances may last longer.

It is important that children who have had eye surgery stick to “light physical activity” for ten days following the surgery. Basically, this means no exercising, PE, running or jumping, or heavy lifting during the ten days. After the ten days, it is fine to swim, preferably using goggles until the redness has gone away. E usually see children who have had eye muscle surgery within the first few days postoperatively, then the next week, and then six weeks postoperatively. The healing process is gradual, and will take six weeks to complete.

Your confidence in allowing us to care for your child is highly valued. We are always available to answer your questions, and hope you will feel free to let us know if there is anything we can do to make this time easier for you.

Your Vision Solutions

The available services at Thomas Eye Group range from comprehensive eye exams to specialty services in LASIK, retinal and corneal disorders, glaucoma, and plastic surgery. To correct vision problems, our doctors are trained in the most current refractive surgery techniques. We also offer contact lenses and glasses to those who prefer a traditional solution.

Learn More

Kids Vision

At Thomas Eye Group, we offer comprehensive eye care to children—specialty care especially for kids! As the largest pediatric eye care practice in the Southeast; we offer a complete scope of preventive and corrective eye care for children. From the detection and treatment of eye disorders to eye surgery, we also treat disorders of eye alignment in adults including double vision..

Learn More

Patient Stories

"To say that I am pleased with the outcome of my surgery is an understatement. What a difference this surgery has made in my life! It is so great to be able to read street signs - even the green ones - at night. Thank you so much!"
- Sally Stebbins

"Everyone the North Fulton office of Thomas Eye Group is so helpful. They feel like a part of my family now!"
- Paige Morris

Learn More

Meet Our Doctors

At Thomas Eye Group Atlanta, our board-certified ophthalmologists and optometrists have decades of combined experience in eye care. We work together as a team to bring you specialized, state-of-the-art care from caring professionals.

Our team of doctors is comprised of ophthalmologists, optometrists, and skilled support staff. Within our group of ophthalmologists, we have several sub-specialists, including LASIK, glaucoma, retina, and plastic surgery or Oculoplastics. At six locations throughout the greater Atlanta area, our group provides services ranging from comprehensive eye examinations and contact lens care to sophisticated microsurgery for cataracts, cornea and retinal disease, and refractive surgery, including LASIK.

Learn More