Examination for strabismus surgery

Examination for strabismus surgery typically involves a thorough evaluation by an ophthalmologist or a pediatric ophthalmologist specialized in treating eye misalignment (strabismus). Here's what the examination process may entail:

1. Medical History: the doctor will review your medical history, including any past eye conditions, surgeries, or relevant medical conditions, such as neurological disorders or head injuries.

2. Visual Acuity Testing: This test assesses the sharpness of your vision using an eye chart to measure how well you can see details at various distances.

3. Refraction Test: A refraction test may be performed to determine if you have any refractive errors, such as nearsightedness, farsightedness, or astigmatism, which could contribute to strabismus.

4. Cover Test: During a cover test, one eye is covered while the other eye fixates on a target. The doctor observes the uncovered eye for any movement or deviation, which can help diagnose the type and severity of strabismus.

5. Ocular Alignment Assessment: The doctor will assess the alignment of your eyes in different positions of gaze, looking for any deviation, misalignment, or eye movement abnormalities.

6. Binocular Vision Assessment: Tests such as the Worth 4 Dot Test or the Bagolini Striated Glasses Test may be used to evaluate your binocular vision and depth perception.

7. Examination of Eye Movements: The doctor will examine your eye movements, coordination, and muscle function to identify any abnormalities or restrictions that may contribute to strabismus.

8. Visual Field Testing: In some cases, visual field testing may be performed to assess peripheral vision and rule out other underlying eye conditions.

9. Measurement of Deviation: The angle and direction of eye misalignment (deviation) will be measured using specialized instruments, such as a prism cover test or a device called a Hirschberg or Krimsky test.

10. Discussion of Treatment Options: Based on the findings of the examination, your doctor will discuss the treatment options available, including nonsurgical approaches (such as vision therapy or eye exercises) or surgical intervention.

11. Preoperative Evaluation: If strabismus surgery is recommended, you may undergo additional preoperative evaluations, such as imaging tests or blood tests, to ensure you are fit for surgery.

12. Discussion of Risks and Benefits: The doctor will explain the potential risks and benefits of strabismus surgery and address any questions or concerns you may have.