Specialized Treatment

Squint Care

Clinical Excellence

Squint Care

Assessment, Orthoptic Exercises & Surgical Realignment

Squint, known medically as Strabismus, is a condition where both eyes do not align in the same direction. While one eye looks straight ahead, the other eye may turn inward (esotropia), outward (exotropia), upward (hypertropia), or downward. Squints are common in children but can also develop in adults due to muscle weakness, trauma, or neurological conditions.

At Dr. Vaidya Eye Hospital, we offer a dedicated Strabismus clinic. Squint is not just a cosmetic issue; if left untreated in children, it can lead to lazy eye (amblyopia), causing permanent vision loss in the misaligned eye. Our squint specialists design customized therapies involving special prescription glasses, occlusion patch therapy, and advanced squint muscle adjustment surgeries.

Squint Care
See the Difference

Before & After Squint Operation

Before Squint Operation

Before Squint Operation

Misaligned eyes — one eye turns in, out, up or down.

After Squint Operation

After Squint Operation

Aligned eyes working together for comfortable, straight vision.

Classification

Types of Squint

Esotropia (Convergent Squint)

The most common type of squint where one eye turns inwards towards the nose. It frequently develops in early childhood and may require corrective glasses, patching, or surgery.

Exotropia (Divergent Squint)

A type of misalignment where one eye turns outwards away from the nose. It often occurs when focusing on distant objects or during periods of fatigue or daydreaming.

Hypertropia

A vertical misalignment where the visual axis of one eye is pointing upwards relative to the other straight-looking eye. It is less common and often linked to muscle weakness.

Hypotropia

A vertical misalignment where one eye turns downwards. This can cause double vision and head tilting as the patient attempts to align their field of view.

Planning

Preoperative Assessment

It is important to accurately measure the angle of deviation preoperatively. This can be performed by using prisms to neutralise the turn. It is also necessary to know preoperatively whether there is any paralysis or restriction of function of the eye muscles, as this can affect the outcome and limit the chance of correction.

Anaesthetic

Type of Anaesthesia

General Anaesthesia

Used for children, so the procedure is completely comfortable.

Local Anaesthesia

Used for adults, numbing the area while the patient stays awake.

Procedure

The Operation

Squint surgery adjusts the eye muscles to align the eyes correctly.

Resection

A portion of an eye muscle is removed and re-attached to strengthen its pull and straighten the eye.

Recession of Muscles

An eye muscle is detached and re-positioned further back to weaken its pull and balance alignment.

Recovery

Post Operative Care

When fully awake, the patient is allowed to go home. Eye drops are normally prescribed, along with some medication to minimise pain and discomfort. Severe pain is rare following these operations, but the eye will be sore for about 24 hours and remain red for several days. Nausea and vomiting occasionally occur but are minimised with appropriate pre-operative medication.

Review Schedule

Day 1

First review after surgery

1 Week

Early healing check

1 Month

Final result usually known

Children

Follow-up until no amblyopia risk

Have Questions?

Frequently Asked Questions

Yes. Squint surgery is generally safe when performed by an experienced eye surgeon.
The eye is usually sore for about 24 hours and may stay red for several days. Most people resume normal activities within one to two weeks, and the final result is typically clear within a month.
Squint can be assessed and treated from early childhood. Early treatment is important in children to allow normal visual development and prevent amblyopia (lazy eye).
No. While many squints are corrected in childhood, adults with longstanding or newly developed squints can also benefit from surgery — both for better alignment and appearance.
Yes, it is possible for a squint to recur years after a successful surgery because the brain control of eye alignment can shift over time. In some cases, a touch-up or secondary procedure may be recommended to maintain perfect alignment.
Squint surgery aligns the physical position of the eyes but does not correct refractive errors (like nearsightedness, farsightedness, or astigmatism). If glasses were prescribed to improve focus or treat amblyopia, they will likely still need to be worn after surgery.
Eye exercises (orthoptics) can help treat specific mild types of squint, such as convergence insufficiency, where the eyes struggle to work together for close-up tasks. However, for most constant or large-angle squints, exercises alone are not sufficient, and surgery is required to reposition the muscles.
There is a strong genetic component to squint. Children with a family history of squint, lazy eye, or strong prescription glasses are at a higher risk of developing misalignment. Early screening by a pediatric ophthalmologist is highly recommended for families with a history of squint.
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