Can Strabismus Come Back After Surgery? Long-Term Outlook & Aftercare

Strabismus surgery can significantly improve eye alignment and overall quality of life, but many patients, both adults and parents of children, wonder if the condition can return. The short answer is yes, it can, although recurrence doesn’t happen in every case. Here’s a look at why strabismus may come back, possible long-term outcomes, and how proper follow-up care supports success.

With more than 25 years of experience and a commitment to advanced, personalized care, Kirk Eye Center provides comprehensive ophthalmology services to patients throughout Northern Colorado under the leadership of Dr. John Kirk, a Colorado native dedicated to serving his community.

Why Strabismus May Return

Strabismus is when the eye muscles don’t work together properly. Surgery helps reposition or tighten muscles to improve alignment, but certain factors can influence long-term stability. Recurrence is more likely when:

• The type of strabismus is complex or severe
• The patient is very young and still growing
• Underlying neurological or developmental conditions affect eye muscle control
• Muscle scarring or weakening develops over time
• Significant eye strain impacts alignment

These factors don’t guarantee that strabismus will return, but they can make long-term monitoring especially important.

What the Long-Term Outlook Looks Like

Most patients enjoy lasting improvement in eye alignment after strabismus surgery. Even when recurrence happens, it’s often milder than the original misalignment. Some benefit from additional treatments, such as prism glasses, vision therapy, or, in rare cases, a second surgery. Regular follow-up visits help your ophthalmologist track changes, address issues early, and ensure the best possible visual outcome.

How Follow-Up Care Supports Success

Consistent follow-up care plays a major role in maintaining long-term results. You will typically schedule visits in the weeks and months following surgery, followed by annual or semiannual exams. You can support your recovery by:

• Using prescribed eye drops or ointments
• Avoiding rubbing or pressing on the eyes
• Limiting physical activity until cleared
• Attending all scheduled follow-up appointments
• Completing recommended vision therapy exercises

Help Your Child See Clearly with Strabismus Surgery in Loveland, CO

If you notice new or worsening misalignment, double vision, increased eye strain, or difficulty focusing, schedule an exam promptly. Early evaluation can keep minor issues from progressing.

Strabismus surgery offers excellent, long-lasting results for most patients. With attentive follow-up care and ongoing monitoring, you can enjoy clearer, more comfortable vision for years to come. Call us today at 970-669-1107 to schedule a consultation with Dr. Kirk.