Children with misaligned eyes may undergo eye muscle surgery, which involves loosening or tightening the muscles to adjust how they function. The alignment significantly improves, allowing the eyes to function together. Eye muscle surgery is an outpatient procedure that involves general anesthesia and is usually performed in a surgery center.
Children with a blocked tear duct that does not open naturally can undergo a tear duct opening procedure. This typically involves carefully inserting a metal probe into the tear duct system from the eyelid opening into the nasal passage. Tear duct probing is a highly successful procedure. It does involve general anesthesia and is usually performed in an outpatient surgery center. In certain circumstances, a silicone stent is also inserted into the tear duct system and left in place for several weeks before removal in the office.
Children with a chalazion that is long standing and does not resolve with conservative treatment may need for it to be surgically drained. This is typically done by flipping the eyelid and making an incision underneath the lid, allowing the oily material within the chalazion to drain. Most children require this to be done under general anesthesia in an outpatient surgery center.
Adults with eye muscle misalignment may present with double vision, depth perception issues, eyestrain, and abnormal appearance of the eyes. Surgery on the eye muscles adjusts the position and tension of the muscles, which leads to better alignment of the eyes. Eye muscle surgery in adults is an outpatient procedure that requires general anesthesia.