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Updated: Jul 14, 2026

Surgical Correction for Pediatric Epiblepharon and Trichiasis
Published on: July 8, 2025
[Some principles in surgical treatment of strabismus]
Doina Dinu1, Adina Grigorescu, Roxana David
1Spitalul Clinic de Urgente Oftalmologice, Bucureşti.
Insights
Strabismus surgery varies by patient age, focusing on preventing amblyopia in infants, restoring binocular vision in preschoolers, and addressing cosmetic or diplopia concerns in older children and adults. Surgical rules differ based on age for optimal outcomes.
Area of Science:
- Ophthalmology
- Pediatric Ophthalmology
- Surgical Procedures
Context:
- Strabismus surgery objectives and techniques differ significantly based on patient age.
- Congenital esotropia in infants requires intervention to prevent amblyopia and binocular vision issues.
- Older children and adults may undergo strabismus surgery for cosmetic reasons or to treat diplopia.
Purpose:
- To outline age-specific goals and surgical strategies for strabismus correction.
- To discuss surgical procedures for congenital esotropia, preschool strabismus, and adult strabismus.
- To review surgical treatments for specific conditions like Duane syndrome, Ciancia syndrome, and superior oblique palsy.
Summary:
- Age dictates strabismus surgery goals: preventing amblyopia in infants, restoring binocular vision in preschoolers, and cosmetic or diplopia correction in older patients.
- Surgical approaches for congenital esotropia, preschool strabismus, and adult strabismus are detailed, considering age-related differences.
- The presentation covers surgical management for various strabismus types, including specific syndromes and palsies.
Impact:
- Optimizing surgical outcomes by tailoring interventions to patient age and specific strabismic condition.
- Improving the understanding and application of age-appropriate strabismus surgical techniques.
- Enhancing patient quality of life through effective correction of visual impairments and cosmetic concerns.
Abstract:
Taking into consideration the age of the patient, the strabismus surgery targets different things. Thus, for infants, the goal of the surgical intervention for congenital esotropia, is to prevent the occurrence of amblyopia and binocular vision dysfunctions (ARC, suppression). In preschool children, we operate aiming the recovery of the binocular vision, while in children over ten years old, the surgery is done only for esthetic reasons. On the other hand, in adults, the strabismus surgery has two aspects: for esthetic reasons in monocular strabismus with amblyopia, or for diplopia treatment in strabismus of traumatic or neurological cause. To get the best results, the surgical intervention has to respect several rules, which differ with patient's age. This presentation will discuss several surgical procedures: for congenital esotropia (including its advantages and drawbacks), for preschool children strabismus and also for strabismus in adults. We will also review the surgical treatment for Duane syndrome, Ciancia syndrome and superior oblique muscle palsy.
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