Information for the parents/patients undergoing Squint Surgery

 

Squint Surgery

  • As shown in Fig 1 there are six eye muscles that control eye movements
  • In a squint surgery the muscles are tightened or made loose (Balancing of muscles)
  • This is accomplished through small holes (approx 4mm and not visible from outside) as shown in Fig 2
  • The operation is performed with the stitches which are not easily visible and gets absorbed on its own within 2 mo
  • The surgery takes nearly 7-8 minutes per muscle
  • It is done on either eye / both eyes / plan of which eye require surgery can change on table depending on the health of eye muscles and ocular deviation under anesthesia
  • Remember! The surgery is always done for the angle that remains after wearing the glasses.
  • There would not be any bandages / goggles after surgery and there are no food or activity restrictions after surgery
  • The patient/child can resume all the activities within 2-3 days after the surgery
  • The eyes would be red for 2 weeks and then pink in colour for 2-3 months
  • Nearly 15% of our patients require adjustment of the stitches (it takes 5-7 min for adjustment of stitches) after squint surgery either in OPD or in the operation theatre depending on the age of the patient
  • Success rate of squint surgery ranges from 70% – 90%
  • A resurgery may be required later for which Jyotirmay Eye Clinic takes partial responsibility and would offer appropriate reduction in charges.

 


Anesthesia

  • Local Anesthesia: This is achieved by giving an injection near the eye. It is given a few minutes before the surgery and given very slowly so that the patient does not feel very uncomfortable. The effect of the injection lasts for 2-3 hrs
  • General Anesthesia: This is the most favored method for children or anxious adults. During the surgery, the patient is on oxygen. Pulse and blood oxygen levels are constantly monitored by a very experienced anesthetist. It is very important that the patient is starving (should not take even the sips of water) from approximately 6 hours prior to the surgery and has perfect health. This has to be certified by the physician or pediatrician. Our anesthetist takes final decision on the safety of the anesthesia administration.
  • For us safety of the child is paramount. Nevertheless, general anesthesia carries a small risk of unanticipated event and the patient / parents should know this. Certainly we will take all the precautions to ensure nothing goes wrong during or after the surgery but, biological systems are not fully predictable.
  • We offer Sevoflurane Anesthesia – the world’s safest and most effective gas anesthesia to the patients.
  • Common side effects of a squint surgery world over are as follows

 

Under or over corrections (Requires repeat surgery after few months or few years)     20%

Vomiting after surgery                                                                                                                    20%

Double Vision (Most times intentional) for few days to few weeks                                        5%

 

  • Rare complications are many that include bleeding, infection, movement restriction, abnormal head posture, difference in the size of the eye aperture etc. Very rare events of vision loss and death are also reported.

 

 

At Jyotirmay Eye Clinic we constantly work towards eliminating complications by

  1. Rigorous and multiple preoperative examinations
  2. Performing every eye surgery under microscope (-Zeiss Inc, world’s best microscope made in Germany)
  3. Performing every surgery with Adjustable Suture technique
  4. Employing a highly competent well equipped Anesthetist
  5. Ensure fitness by obtaining Preoperative Anesthesia fitness from physicians
  6. Providing you with a very clean, safe and well equipped Operation Theatre

 

Certainly we value your trust in us. We keep our self most updated with the state of the art in medicine. We would do everything to provide you/your child with the best possible care, as would be the case if it was our own child or a relative.

We exist to serve.

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We have read this information brochure and cleared our doubts by discussing with Dr Mihir Kothari. We give consent to Dr Mihir Kothari to perform squint surgery ………………………………………………. ………………………………………..

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