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I would like to look into getting a LASIK-type treatment for myopia and astigmatism correction, but I also happen to have a condition of adult strabismus (intermittent exotropia). Given this, I was wondering if LASIK is in/advisable before or after a strabismus correction operation, or if the 2 treatments are independent.
If they are not independent (I would not expect them to be!):
- Is it possible to do both treatments one after another? If so, in which order, and what would the recommended interval be like?
- What are the risks specific to this double treatment to take note of?
You are correct to conclude that in order for you to have a satisfactory outcome in the above situation, both the refractive errors and strabismus have to be addressed. Ideally, we should conduct a full evaluation of your eyes to rule out any other eye-related problems.
Generally, refractive surgery should be performed prior to the strabismus surgery as the degree of strabismus may change after refractive surgery. This sequence would result in a more stable and predictable outcome for both conditions. The risk of performing the strabismus surgery first is that the strabismus may re-emerge after the refractive surgery. Strabismus surgery can be performed once the vision following LASIK has stabilised. This would ideally be a minimum period of 1 month.
The main precautions about having to address both these conditions are that a full evaluation of the eyes and strabismus is needed, the strabismus and refractive errors are stable and that there are no contraindications to having both surgeries.
Dr David Chan
Senior Consultant Eye Surgeon
Atlas Eye Specialist Centre