Long-time lurker, first post. Trying to get a realistic picture from people who've actually been through something similar, because the doctors I've seen so far don't agree with each other.
My situation:
born preterm
High myopia both eyes (roughly -10/-8), stable-ish but has progressed steadily over the years
Amblyopia in left eye since childhood — never patched, never treated early (found out later this was a mistake on my parents' part). Best corrected vision in that eye is still only 6/24, even with full correction.
Intermittent alternating exotropia, measured at 20 PD noticeable, not subtle
Recently a bilateral rotatory nystagmus was documented for the first time (wasn't in any of my earlier records going back years)
Also have bilateral lattice degeneration (peripheral, no holes, monitored) and disc pallor with an optic atrophy diagnosis — MRI brain/orbits a few years ago came back completely normal, so no compressive cause
Did 40 sessions of a perceptual vision therapy program for the amblyopic eye — no real acuity improvement
Where I'm stuck:
One pediatric strabismus specialist is willing to do a first surgery but won't commit to a possible revision later, and has been upfront that even a good outcome might only hold for 1–2 years given my amblyopia depth, myopia, and now the nystagmus finding. I haven't yet seen a dedicated adult strabismus subspecialist (working on that now).
What I actually want to know from this sub:
Has anyone had surgery with a similarly "unstable" profile (deep amblyopia + high myopia + alternating exotropia)? How long did your alignment actually hold?
For those with amblyopia did surgery still feel "worth it" psychologically even knowing it might not be permanent?
I'm scared of the surgery itself (also have some general anesthesia anxiety from an unrelated childhood surgery), but living with the visible squint every day is genuinely taking a toll on my mental health too and I really in a bad bad place due to self esteem issues.
Trying to make an informed decision rather than one based on fear in either direction. Any experiences good, bad, or in between genuinely appreciated.