Correcting Adult Strabismus: Understanding Treatment Options with Dr David Stager

Strabismus, commonly known as crossed eyes or squint, is a condition where the eyes are misaligned and do not point in the same direction. While it is often detected in childhood, some adults may also experience strabismus later in life. If you find yourself dealing with misaligned eyes as an adult, you may wonder if there are effective treatments available to correct this condition. Dr David Stager sheds light on the treatment options for adult strabismus and the potential for successful outcomes.

Understanding Strabismus and Its Impact on Vision

Strabismus occurs when the eye muscles do not work together properly, leading to the misalignment of one or both eyes. This misalignment can result from muscle imbalance, nerve issues, or other factors affecting vision. Individuals with strabismus may experience double vision (diplopia) because their brain receives conflicting visual input from the misaligned eyes. Additionally, focusing on objects and maintaining good eye coordination may be challenging due to poor alignment, causing difficulty in processing visual information with both eyes simultaneously.

Occlusion Therapy: Addressing Misaligned Eyes Due to Muscle Imbalance

Occlusion therapy, a non-surgical treatment for strabismus, involves covering one eye with an eye patch or special contact lens. This approach is particularly effective when muscle imbalance is the underlying cause of the misalignment. By patching the stronger eye, the brain is encouraged to use the weaker eye, helping to strengthen its muscle control and align the eyes over time.

The duration of occlusion therapy varies based on the severity of the misalignment and the individual’s response to treatment. Typically, patients undergo occlusion therapy for around 20 minutes daily, lasting two weeks or longer. Positive results can be observed within six weeks of consistent therapy. However, it is crucial to adhere to the treatment plan diligently, as discontinuing prematurely may cause the eyes to revert to their original position.

Surgical Options for Adult Strabismus

In certain cases, surgical intervention can be a viable option for correcting adult strabismus. Strabismus surgery aims to realign the eye muscles to achieve better eye alignment and improve vision. However, the success of the surgery depends on various factors, including the underlying cause of the strabismus and the individual’s overall eye health.

Before recommending surgery, an ophthalmologist or strabismus specialist will conduct a comprehensive evaluation to determine the most suitable approach. The surgery may involve adjusting the eye muscles’ length or position to achieve proper alignment. Although strabismus surgery can be successful in many cases, it is important to note that it may not guarantee a complete correction, especially if there are complex underlying issues.


Adult strabismus is a condition that can significantly impact one’s quality of life and visual function. While occlusion therapy can be beneficial for addressing misaligned eyes due to muscle imbalance, surgery is sometimes an option to consider, depending on the individual case. Seeking advice from an experienced ophthalmologist or strabismus specialist is essential to determine the most appropriate treatment for adult strabismus. Dr David Stager insights provide valuable guidance for adults dealing with strabismus, helping them explore treatment options and embark on a journey towards better eye alignment and improved vision.

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