Strabismus/one eye bigger than the other

[yiltonk]

i ve had strabismus since birth and had corrective surgery 18 months ago and feel/see that there has been little or no improvement and as a matter of fact i am less confident and more miserable about my appearance now than i was before the operation.Also the weaker eye is slightly bigger than the dominant one.Is there anything i can do to improve the situation as it has made and continues to make my life a living hell ?!

[John C Hagan III, MD, FACS, FAAO]

Your strabismus is not large enough to be a cosmetic problem and 98% of the people you come in contact with are not going to notice it. It's likely that a strabismus surgeon would not do any surgery for such a small amount and surgery could leave you worse off. Your left eye looks larger because the lids are retracted on the left side (likely) or that your lid on your right eye is lower than it should be (ptotic).

It is likely that a strabismus surgeon would NOT want to do additional surgery for eye alignment. If you have not consulted one in the last year or two you might want to consider it.

For your lids consider seeing an eye MD ophthalmologist that specializes in oculoplastic surgery. In the USA find one at www.aao.org  It might be that an eyelid retractor recession on the L eyelid may be helpful.

Overall I would say the problem is likely much more related to depression, anxiety or innate insecurity than your true physical appearance which is quite normal appearing.  Take this the right way, I suggest you see a psychiatrist and work through why these relatively minor physical blemishes are causing your such misery.

JCH MD

[Jessiishappy]

How do you know her strabismus isnt bad without looking at her first? When i was born my Left eye muscle was stuck to my nose and wouldnt move. I had 2 surgeries then on both eyes. Now my strabismus has come back and I have 2 surgeries again this month. For me this is a Huge cosmetic issue and people DO notice it and WILL make fun of it. I constantly have an issue with people not knowing where I'm looking.
So how can you say strabismus isnt a cosmetic issue without seeing the actual person? My eyes stopped working in coordination and never will work together again so I'm having to reteach myself how to see. I'm also loosing noticeable vision in my right eye Because it wasnt the prefered eye in my brain. So please dont just assume things doctor. It might not be an issue for you. But for me and her its huge. Also both of my eyes became incredibly larger after surgery and one is even bigger than the other. My eyes are huge like dolls eye's I dont have an issue with that though

[John C Hagan III, MD, FACS, FAAO]

I know because she posted a picture of herself post operative.  

[jaysta36]

you could have eyelid surgery on one eye to match up to the other,they cut the lid,which changes shape of eye making it smaller or bigger,depends which eye you want to go with