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Strabismus: Answering Your Frequently Asked Questions

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Living with strabismus often means more than just cosmetic concerns. Many people experience headaches from eye strain, trouble focusing on everyday tasks, or even double vision that makes simple activities like reading or driving more challenging. Sometimes, young children might struggle with coordination or have difficulty maintaining eye contact, which can affect their confidence and development.

These challenges can make strabismus feel overwhelming, but the good news is that effective treatments are available. At Michael L. Smookler, O.D. in West Roxbury, we understand the complex nature of strabismus and offer personalized care, including vision therapy, to address both the symptoms and the underlying causes.

Strabismus FAQs

This condition can be a bit confusing, especially with so many distinct types of strabismus and treatment options. Whether you are a parent worried about your child’s eye alignment or an adult experiencing vision changes, it is normal to have questions. Here are some of our answers to your most common questions:

1. What is Strabismus?

Strabismus is a condition where the eyes are not properly aligned with each other, which can cause them to point in different directions. It can lead to double vision, eye strain, and difficulties with depth perception. In unilateral strabismus, one eye always focuses while the other turns. In alternating strabismus, the brain switches between the two eyes. If not treated early, strabismus can lead to amblyopia (lazy eye) where vision in the misaligned eye is reduced

2. What Causes Strabismus?

There are many probable causes, including genetics, problems with the eye muscles, nerve damage, or conditions affecting the brain. Sometimes, it develops early in childhood, but adults can also experience it. In many cases, the brain learns to ignore the input from the misaligned eye, which can worsen the condition over time.

3. Who is at Risk for Developing Strabismus?

Anyone can develop strabismus, but it is more common in children, especially those with a family history of the condition. Certain neurological or medical conditions can also increase the risk.

4. Are There Non-Surgical Treatments for Strabismus?

Yes, non-surgical options include vision therapy, corrective lenses, and sometimes prism glasses. Vision therapy can help train the eyes to work together more effectively. Unlike surgery, which often addresses the cosmetic aspect, vision therapy focuses on improving the coordination and function of the eyes.

5. When to See a Doctor for Strabismus?

If you notice any signs of misalignment, especially in children, it is a good idea to consult with an eye care professional. Early intervention can make a substantial difference.

6. Can Strabismus Come Back After Treatment?

Sometimes, strabismus can recur, particularly if the root cause is not fully addressed. Surgery may result in temporary alignment, but the eyes might still lack the coordination necessary for proper vision. Vision therapy before and after surgery can improve long-term outcomes

7. How Many Surgeries Before to Cure Strabismus?

There is not a one-size-fits-all answer, as the number of surgeries needed can vary based on the severity of the condition and how well the eyes respond to treatment. Sometimes, one surgery is enough, but in other cases, multiple surgeries may be required. It is important to have a thorough evaluation and discuss realistic expectations with your eye care provider.

 8. Can Surgery Make Strabismus Worse?

Yes, there is a possibility that surgery could cause the eyes to deviate in the opposite direction or look worse than before. Sometimes, even if the eyes appear straighter immediately after surgery, the alignment may change over time. This is why vision therapy before and after surgery can help stabilize results and improve long-term success.

 9. What Other Benefits Can We Expect to See After Strabismus Treatment?

The benefits depend on the type of treatment used. Vision therapy not only improves eye alignment but also helps train the brain to coordinate the eyes better, leading to improved depth perception and reduced eye strain. Surgical outcomes may improve the appearance of alignment, but additional therapy may be needed to enhance functional vision.

10. Will My Child Still Need Glasses After Strabismus Surgery?

In many cases, children may still need glasses even after surgery, as surgery primarily addresses muscle alignment rather than correcting refractive errors. Your eye care provider will assess your child's visual needs and may recommend corrective lenses as part of the comprehensive treatment plan.

Treatment Options at Michael L. Smookler, O.D.

At Michael L. Smookler, O.D., our team offers personalized treatment plans that include vision therapy, corrective lenses, and comprehensive care to improve eye coordination and visual function. Our vision therapy program is supervised by experienced professionals and is designed to train the brain to process what both eyes see simultaneously. In rare cases where surgery is needed, vision therapy before and after surgery can increase the chances of long-term success.

Have More Questions? Visit us at Michael L. Smookler, O.D. in West Roxbury

At Michael L. Smookler, O.D. in West Roxbury, we are here to help with compassionate, expert care. Our personalized approach combines vision therapy and advanced techniques to address both the root causes and symptoms of strabismus.

Don’t let eye misalignment hold you back from clear, comfortable vision. Schedule a consultation and take the first step toward a brighter, clearer future.