
Squint Surgery
Why adults seek treatment
Double vision that interferes with driving, reading or work. Eye strain and headache from the effort of keeping the eyes aligned. A visible squint that affects confidence, eye contact and how a person is perceived. A childhood squint that was never treated, or that has drifted again decades after surgery.
At ELEMENTAL strabismus surgery in adults is performed by Dr. Hanna Barinova, Specialist Ophthalmologist.
Squint in a child is assessed and treated differently, and not every child needs an operation. See squint surgery for children.
Assessment
Vision in each eye, the angle of deviation in all positions of gaze, eye movements, and whether the two eyes can be made to work together. In acquired cases — after injury, stroke, thyroid disease or nerve palsy — the cause is established first, and surgery is timed once the condition is stable. Prism glasses and, in some cases, an injection that temporarily weakens an eye muscle are alternatives or preliminaries to surgery; they are discussed where relevant.
The surgery
The muscles that move the eye are repositioned to realign it. In adults the procedure is performed under local anaesthesia with sedation or under general anaesthesia. Where precision is critical, adjustable sutures allow the alignment to be fine-tuned after the operation while the patient is awake. Duration 45–90 minutes; discharge the same day.
Revision surgery
Strabismus that has recurred or was over-corrected after previous surgery is a specific and more demanding problem: scarring changes the anatomy, and the previous operative notes are valuable. Dr. Barinova's practice includes complex and revision strabismus in adults.
Recovery and risks
Redness and grittiness for one to two weeks; desk work within a few days. Risks include under- or over-correction, persistent or new double vision, infection, and the need for further surgery. Individual results vary and are discussed at the consultation.
Cost
Consultation: AED 1,100. The cost of surgery is confirmed in writing after the assessment. Double vision and acquired strabismus are medical conditions; coverage depends on the insurer.
Frequently Asked Questions
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