My younger Son of 5 Years old have undergone squint surgery on right eye�recently in Feb 2016. The�squint was appeared in right eye (only) in Jan 2016 end week & that too�instantly. Earlier to that, all was fine.�To recover from the situation, our doctor suggested us to have�squint�muscle�surgery which is common treatment.� � Now after six month of surgery, the�squint has appeared again on same eye. It is not constant�squint on same eye & now�sometimes both eyes looks fine, sometimes only right eye shows�squint or sometimes his left eye shows�squint.�Our doctor says this is normal case & we will try to make it clear by using glasses & patching daily.� � I am bit confused & don't know�whether�we are taking correct treatment or not? We are using glasses since yesterday as per Doctors advice�& don't have complete result now.� � Just wanted to have your expert opinion on below � 1. Can�squint reappear after surgery also?� 2. Why the�squint is not constant, sometime angle is more inward & sometimes in clean.� 3. What tests I should do for my son to recover from this situation & do you feel that, we are taking correct treatment. 4. Do we need to visit Neurologist also? 5. Will my son can make confirmed�outcome from this�squint issue? 6. Is this is common or rare case?�� � Kindly support.
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Squint can reappear after surgery. Eye alignment is variable. And depends upon eye muscle strenght, balance and coordination. During times of intense concentration n focus, sometimes the binocularity breaks and one eye will squint. Also, when sick or tired, the eye muscle also get fatigued readily, that's when the squint may also become evident. Sometimes following squint surgery, some vision therapy exercises are recommended to build on eye muscle strength and coordination. For the glasses power, doctor may need to under/ over or give full correction depending on a detailed squint examination n impact on squint surgery. I don't think you need to do any tests or visit a neurologist, but the judgement will remain with the treating doctor. I strongly suggest you discuss your apprehensions with the treating doctor. Squint and vision development in an ongoing process, with many factors contributing to outcome. There will never be any confirmation. Orthophoria or no squint is a rare phenomena. So have a reasonable expectation. All the best.
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