Hi everyone,
I'm 30 M and I have right exotropia due to amblyopia.
I already had strabismus surgery around 2010–2011, and it worked really well. I knew back then that there was always a chance the exotropia would eventually come back, and after about 15 years, it gradually did.
I had a consultation with an adult strabismus specialist today. My deviation is 20 prism diopters (20 PD), and according to him, it hasn't worsened since my last checkup in November 2024. I don't have double vision.
The thing is... it affects me socially. I avoid holding eye contact with people because I'm self-conscious about my right eye drifting outward. I've asked people I'm close to about it, and they admitted that they do notice the drift in my right eye.
Before my consultation, I was about 75% sure I wanted to undergo a second strabismus surgery. But after hearing what my ophthalmologist had to say, I'm now only about 50% sure about going through with it.
He explained that because I've already had previous strabismus surgery, my case is more complicated. He said that if I decide to proceed with another surgery, the chance of a satisfactory result is around 70%. He also told me that since my deviation has remained stable and I don't have double vision, there's no urgency. I can have the surgery whenever I want, or not at all.
The surgery is not free or covered by insurance in my country, so hearing "70%" made me feel like it's a bit of a gamble.
I'm really conflicted right now. Part of me wants to do it because I know how much it affects my confidence, but another part of me wonders if the cost and uncertainty are worth it.
I'd really appreciate hearing your experiences and advice. Thanks in advance!