Must children have surgery for strabismus?

Strabismus in children does not always require surgery; some types of strabismus can be treated conservatively and some types require surgery. The main goal of strabismus treatment is to restore visual function in both eyes. Treatment of strabismus in children should begin as soon as the diagnosis is confirmed. Attempts should first be made to eliminate the perceptual deficits caused by strabismus, including deregulation, treatment of amblyopia, and correction of strabismus using non-surgical treatments or surgery after binocular vision is nearly balanced. In general, patients with accommodative strabismus do not require surgical treatment, and the refractive error can be corrected by wearing spectacles, thus balancing the eye position. If the child has non-adjustable strabismus and the degree of strabismus is large, the patient can have surgical treatment for strabismus, such as medial rectus muscle reduction. It is recommended that children with strabismus be seen promptly for evaluation and treatment as prescribed.