For patients with a small degree of upward strabismus, we can consider the use of trigeminal lenses to correct the compensatory head position. Children with larger strabismus should be considered for early surgical treatment. For this type of congenital paralytic strabismus, foreign ophthalmologists advocate staged surgery, while we adopt staged surgery for children who live closer to home and who are in a better financial situation. For children who live in remote areas and those who are in a poor financial situation, we try to solve the problem in one operation. However, this makes the surgery more difficult. The design of the surgery must be carefully communicated and discussed with the parents before the surgery, in order to obtain their understanding and cooperation. For congenital paralytic strabismus in children, surgery is still the main treatment, because there are few chances of forming amblyopia in congenital paralytic strabismus, and the monocular function of both eyes is often maintained because of compensatory head position; even if the monocular function of both eyes is incompetent or lost, as long as the surgery is early and the eye position is corrected after surgery, the compensatory head position will disappear soon, and the monocular function of both eyes will be restored soon to achieve the purpose of functional cure. In older children with paralytic strabismus, surgery can correct the strabismus, but leaves permanent abnormalities in the cheeks, spine, and teeth, so children with compensatory head position should Therefore, children with compensatory head position should be corrected surgically as soon as possible. In addition to treating the cause of fresh paralytic strabismus, oral and intramuscular injections of vitamin B1, vitamin B12, inosine, coenzyme A, ATP, etc. can be given. Acupuncture and physiotherapy can also be used to promote the recovery of the paralyzed muscle. If recovery cannot be achieved after six months of treatment, surgical treatment can be considered.