Clarity Eye Surgeons

Strabismus Surgery in Canberra

Specialist treatment for eye misalignment (squint) in children and adults, from fellowship-trained ophthalmologists in Braddon, Canberra.

Medically Reviewed

Dr Parth Shah
Dr Parth Shah

Ophthalmologist & Eye Surgeon

Braddon, Canberra · Clarity Eye Surgeons

Last medically reviewed on 29 June 2026. This page is educational and is not a substitute for personalised medical advice.

Strabismus Surgery

What Is Strabismus Surgery?

Strabismus — commonly known as a squint or crossed eyes — occurs when the eyes are not aligned with each other, with one eye looking straight ahead while the other turns in a different direction. Strabismus surgery (eye muscle surgery) repositions one or more of the muscles that move the eye, restoring proper alignment.

It's suitable for both children and adults, and can be performed on its own or alongside other vision treatments — your ophthalmologist will recommend the right approach based on the type and severity of your misalignment.

Eye Misalignment

Types of Strabismus

Strabismus is classified by the direction the affected eye turns.

Close-up photo of eyes showing Esotropia (inward turning)
Inward Turning

Esotropia

One eye turns inward toward the nose — the most common form of childhood strabismus.

Close-up photo of eyes showing Exotropia (outward turning)
Outward Turning

Exotropia

One eye drifts outward, away from the nose, sometimes only noticeable when tired or focusing at a distance.

Close-up photo of eyes showing Hypertropia (upward misalignment)
Upward Misalignment

Hypertropia

One eye sits higher than the other.

Close-up photo of eyes showing Hypotropia (downward misalignment)
Downward Misalignment

Hypotropia

One eye sits lower than the other.

Close-up photo of eyes showing Cyclotropia (rotational misalignment)
Rotational Misalignment

Cyclotropia

One eye rotates around its visual axis rather than shifting up, down or sideways — the least common and most complex type to diagnose.

Benefits

Why Strabismus Surgery Is Needed

  • Restore three-dimensional vision and depth perception

  • Eliminate double vision caused by misaligned eyes

  • Reduce the risk of amblyopia (lazy eye) in children

  • Improve the natural appearance and symmetry of the eyes

  • Support healthy visual development in young patients

  • Improve overall comfort, confidence and quality of life

Treatment

Strabismus Surgery Techniques

Muscle Recession

Weakens an overactive eye muscle by detaching it and reattaching it further back on the eye, reducing its pulling force.

Muscle Plication

Strengthens an underactive muscle by folding and shortening it — a safer, more easily reversible alternative to removing muscle tissue.

Adjustable Suture Technique

Uses a special stitch that can be fine-tuned in the days after surgery, particularly useful for repeat procedures or thyroid-related strabismus.

Patient Eligibility

Who Needs Strabismus Surgery?

Strabismus surgery is suitable for patients of all ages.

Children

Surgery can be performed on infants as young as 9–12 months to restore binocular vision. Left untreated, childhood strabismus can lead to amblyopia and affect self-esteem.

Adults

Adults can also benefit from strabismus surgery — correcting long-standing misalignment, resolving double vision, and restoring a natural-looking gaze.

The Clarity Difference

Why Choose Clarity Eye Surgeons

Fellowship-Trained Expertise

International fellowship training in strabismus surgery, including techniques for complex and repeat cases.

Named-Surgeon Continuity

You're cared for by the same ophthalmologist from consultation through surgery and recovery — never passed between providers.

Local Braddon Clinic

A purpose-built clinic in Braddon, Canberra, with both private and public surgical options close to home.

Patient and Family-First Communication

Clear, unhurried explanations for patients and parents alike, so everyone understands the plan and feels confident in the care provided.

Before Surgery

Preparing for Strabismus Surgery

From your first assessment to the day of surgery, here's what to expect.

  1. 1

    Comprehensive Eye Alignment Assessment

    A detailed examination of eye alignment and eye movement to understand the exact nature of the misalignment.

  2. 2

    Precise Measurement

    The size and pattern of the misalignment is measured, sometimes across repeat visits, to plan the surgical approach.

  3. 3

    Surgical Planning

    Your ophthalmologist determines which muscles need adjusting and which technique is best suited to your case.

  4. 4

    Day-of Arrangements

    Arrange for a friend or family member to drive you home, as you won't be able to drive yourself after the procedure.

The Procedure

What Happens During Surgery?

1

General Anaesthesia

Performed under general anaesthetic in a hospital setting, so you're fully asleep throughout the procedure.

2

Accessing the Muscle

The surgeon reaches the eye muscles beneath the thin surface tissue (conjunctiva) — there are no visible external cuts to the skin.

3

Repositioning the Muscle

The relevant muscle is recessed, plicated or repositioned depending on your specific type of misalignment.

4

Reattachment

The muscle is reattached to the eye wall using either a dissolvable stitch or an adjustable suture technique.

Surgery takes approximately 45 minutes to one hour, usually performed as a same-day procedure.
After Surgery

Recovery & Aftercare

Most patients resume normal activities within 2–3 days. Eyes may stay red for up to 6–8 weeks, with full healing and stable alignment taking up to 2–3 months.

Do

  • Use your prescribed eye drops exactly as instructed
  • Attend all follow-up appointments so your alignment can be monitored
  • Rest and take it easy for the first day or two

Don't

  • Rub or press on your eyes
  • Swim or do strenuous activity and contact sports for 4 weeks
  • Ignore increasing redness, pain or sudden vision changes
Other Options

Non-Surgical Alternatives

Surgery isn't always the first step. Milder forms of misalignment may respond well to:

Eye patchingBotulinum toxin (Botox) injectionMonocular occlusionVision and eye exercisesCorrective glasses or prism lenses
Safety

Risks & Complications

Strabismus surgery is generally very safe, but as with any medical procedure, some risks exist.

Residual or recurrent misalignment

About 20–30% of patients may need an additional surgery if the misalignment persists or returns over time.

Over-correction

The eye may be adjusted slightly too far in the opposite direction, sometimes requiring further correction.

Double vision or eyestrain

Usually transient while the brain adjusts to the new alignment, though occasionally longer-lasting.

Infection or scarring

Uncommon, but possible with any surgery — your surgeon will discuss warning signs to watch for.

FAQ

Strabismus Surgery FAQs

Most procedures take approximately 45 minutes to one hour, depending on the complexity and number of muscles being adjusted. It's typically performed as a same-day procedure.

Ready to discuss your eye alignment? Book a consultation today.

Strabismus Surgery Canberra | Squint Treatment | Clarity Eye Surgeons