Double Vision Surgery

Inflammatory cells invade the eye muscles resulting in discomfort and double vision. As the inflammatory process subsides, fibrosis is deposited making the eye muscles function even more limited. The eyes may move inwards (esotropia) or one or both eyes may have difficulty looking upwards (hypotropia).

During the active phase, steroids (either oral prednisone or intravenous methylprednisolone) may be helpful. Temporary prisms (fresnel prisms that are applied to your glasses) may be helpful in some cases.

Surgery is usually reserved for when your eyes are no longer red and swollen and the double vision is stable from day to day.

Strabismus means that eyes are not aligned. Inflammation and enlargement of the eye muscles can pull/push the eye in different directions such that each eye sees a different image, and this can cause double vision.

 

 

Incision line for strabmismus surgery	Incision made to allow surgeon to find muscle
Eye muscle isolated	Suture placed in muscle before it is cut
Eye muscle is cut	Eye muscle is repositioned
Knot is tied	Position of muscle compared before & after

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