HomeAnswersOphthalmology (Eye Care)exotropiaMy eye looks smaller after exotropia surgery. Should I worry?

My right eye is smaller and looking down after exotropia surgery. Why?

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The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

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Published At May 15, 2019
Reviewed AtJuly 18, 2023

Patient's Query

Hello doctor,

I had an exotropia surgery before. It was a strabismus kind of thing. But my eye, the one with the condition, is small and the pupil is like looking down. When I take pictures is very noticeable. I need to flip them to make them look normal. Is it normal that my eye is smaller and is looking down? Is my right eye fine? The left one is fine. This is really bringing me down. Please help.

Hello,

Welcome to icliniq.com.

I understand your concerns. From the image you sent (attachment removed to protect patient identity), I can see that your right eye is a bit red. Has your right eye always been a little red? How long back did you get the squint surgery? If you have had surgery long ago, then I can tell you that your images show a hypotropia in the right. This is once again treatable with surgery. I do not feel that flipping the images has made the defect any less apparent. Nonetheless, such a condition is not an emergency unless you feel that the vision in your eyes has dropped. If it helps you, some people can get their eyes straighter for photos by first closing the normal eye, then looking at an object with the squinting eye then opening to see with the normal eye. In case you need any further information, kindly send me a scanned copy of your surgery report. I will do my best to help you.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Manjunath Natarajan
Dr. Manjunath Natarajan

Ophthalmology (Eye Care)

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