Strabismus Correction (Rectus Recession/Resection, Adjustable Suture)

Strabismus correction surgery (including adjustable sutures) may be considered when paralytic or restrictive strabismus causes persistent double vision, abnormal head position, or functional impairment, and conservative treatments such as prisms, patching, or botulinum toxin have limited effectiveness. The decision depends on the cause and stability, the angle of deviation and extraocular muscle function, fusion potential, previous surgical history, and overall health and anesthesia assessment.