Specialist consultation
Consultations with a squint specialist are available by prior appointment. Contact us to confirm the centre and timing.
Squint & Eye Alignment Care
Align the eyes with a plan built around vision—not appearance alone.
Consultant squint surgeon appointments for children and adults, supported by detailed alignment measurements, amblyopia care and squint surgery available through JEWCC.
By appointment Consultation & surgery
Complete alignment pathway
From first measurement to postoperative review within one coordinated care plan.
Squint care needs more than deciding whether an eye turns. The pattern, vision in each eye, glasses prescription, binocular function, symptoms and health of the eyes all influence treatment.
Detailed measurements
Distance, near and gaze-position measurements support an individual diagnosis and surgical plan.
Surgery at JEWCC
Squint surgery is coordinated at the Nallasopara East surgical centre after clinical and anaesthesia clearance.
Continued follow-up
Glasses, amblyopia care and alignment monitoring continue when required before and after surgery.
What is squint?
The eyes point in different directions—or struggle to stay aligned together.
Strabismus, commonly called squint, occurs when both eyes do not point at the same target at the same time. The deviation may be constant or intermittent and may turn inward, outward, upward or downward.
In childhood, the brain may suppress the image from the deviating eye to avoid double vision, increasing the risk of amblyopia and reduced depth perception. Adults with a new deviation are more likely to experience double vision because their visual system has already learned to combine two aligned images.
Do not assume every new squint is routine
Sudden eye misalignment can signal more than an eye-muscle problem.
A longstanding childhood squint and a new-onset deviation require different thinking. Sudden double vision or a new turn—especially with neurological symptoms, trauma, pain or a pupil abnormality—needs prompt medical assessment.
- A new squint or sudden double vision in an adult
- A new constant eye turn in a child, especially with abnormal behaviour
- Double vision with severe headache, weakness, imbalance or drooping eyelid
- Eye misalignment following trauma or an orbital injury
- A turned eye with a white pupil, reduced vision, pain or marked redness
Types of squint
Direction is only the beginning of the diagnosis.
The surgeon also considers when the turn started, whether it is constant, how well it is controlled, whether the angle changes with gaze, and whether glasses or another disease contribute.
01An inward eye turn
Esotropia
One eye turns toward the nose constantly or intermittently. Some childhood esotropia is linked to farsighted focusing effort and improves substantially with the correct glasses; other forms require different treatment.
How care may be planned
Cycloplegic refraction, alignment measurements and amblyopia testing help distinguish accommodative from non-accommodative patterns and guide whether glasses, bifocals, amblyopia care or surgery is appropriate.
02An outward eye turn
Exotropia
One eye drifts outward, often first noticed when the person is tired, unwell, daydreaming or in bright sunlight. Frequency and control can change over time.
How care may be planned
Observation may be suitable when control is good. Treatment can include glasses, selected orthoptic measures or surgery when the deviation is frequent, poorly controlled, symptomatic or affecting binocular function.
03Hypertropia or hypotropia
Vertical squint
One eye sits higher or lower than the other. A person may tilt or turn the head to reduce double vision and obtain a more comfortable area of binocular vision.
How care may be planned
The cause may involve an eye muscle, its nerve supply, thyroid eye disease, injury or another pattern. Prisms or surgery can help selected cases after the deviation is carefully mapped.
04A constant turn beginning early in life
Infantile strabismus
A large constant deviation in infancy can interfere with binocular visual development. Brief intermittent crossing can occur in very young babies, but a persistent turn or an abnormal red reflex needs prompt examination.
How care may be planned
Vision, refractive error and eye health are assessed first. Amblyopia treatment and glasses may be required, while eye-muscle surgery is often considered at a developmentally appropriate time.
05Movement limited in a particular direction
Paralytic or restrictive squint
A nerve palsy, thyroid eye disease, injury, orbital disease or tight eye muscle can prevent normal movement and produce double vision. New adult-onset misalignment must not be assumed to be a childhood squint.
How care may be planned
Assessment may require medical history, pupil and neurological examination, blood tests or imaging. Temporary prism, observation or occlusion can be used while the cause and stability are established before surgery.
06Alignment changes after earlier treatment
Residual or consecutive squint
A deviation may remain after prior treatment or the eye may later turn in the opposite direction. Growth, changing vision, scar tissue and the original diagnosis can all influence alignment over time.
How care may be planned
Old operation notes and photographs are valuable. Re-operation can be considered, but planning accounts for previous muscle surgery, current measurements and the risk of double vision.
Signs and symptoms
The eye turn may be obvious—or appear only when control drops.
Family photographs and short videos can help document an intermittent deviation that is not present during the visit. Note whether the turn appears when tired, looking far away, reading or in bright light.
Arrange a squint assessment- An eye that turns in, out, up or down constantly or intermittently
- Closing one eye in sunlight or during visually demanding tasks
- Tilting or turning the head to look at objects
- Double vision, visual confusion or difficulty judging depth
- Eye strain, headaches or trouble keeping place while reading
- A child objecting strongly when one particular eye is covered
Squint evaluation
Measure vision, alignment, movement and the health of both eyes.
Measurements can vary with attention, fatigue, glasses and viewing distance. More than one visit may be needed before surgery when the angle is inconsistent or the cause has not stabilised.
Vision in each eye
Each eye is assessed separately using age-appropriate methods. Unequal vision may indicate amblyopia, cataract, retinal disease or another reason the eye has drifted.
Cover testing and prism measurement
Cover–uncover and alternate-cover tests reveal manifest and latent deviations. Prisms quantify the angle at distance, near and different gaze positions for treatment and surgical planning.
Eye movements and head posture
The clinician checks how each eye moves, whether movement is restricted and whether a head turn or tilt compensates for the deviation.
Cycloplegic refraction
Dilating drops relax a child’s focusing system so farsightedness, myopia, astigmatism and unequal prescriptions are accurately measured before surgery is considered.
Binocular vision and stereopsis
Age-appropriate tests assess whether the eyes combine images and appreciate depth. Results help explain symptoms and set realistic functional goals.
Complete eye and neurological assessment
Pupils, lids, the front of the eye, lens, optic nerve and retina are examined as indicated. New or atypical squint may require systemic evaluation or imaging rather than immediate eye-muscle treatment.
Treatment choices
Straightening the eyes and strengthening vision are related—but not identical—goals.
Treatment is sequenced around the cause. Glasses and amblyopia may need attention before surgical measurements, while new adult double vision may require investigation or a period of stability first.
Glasses and optical correction
The full appropriate prescription may straighten accommodative esotropia and provides a clear image for both eyes. Bifocals or prisms are useful only for selected patterns.
Amblyopia treatment
Patching or atropine treats reduced visual development; it does not directly reposition the eye muscles. Vision is commonly improved or balanced before final surgical measurements.
Prisms and selected exercises
Prisms can reduce double vision for some small or stable deviations. Exercises have a defined role in selected convergence problems but are not a universal cure for every squint.
Eye-muscle surgery
The surgeon weakens, strengthens or repositions selected extraocular muscles to change alignment. The plan may involve one or both eyes even when only one eye appears to turn.
Squint surgery at JEWCC
Eye-muscle surgery changes alignment without removing the eye.
The surgeon reaches the extraocular muscles through the conjunctiva, then weakens, strengthens or repositions selected muscles. Surgery may be advised on one or both eyes even if only one appears to turn. Most cases are planned as day-care procedures, subject to individual health and anaesthesia needs.
Measurements and surgical goal
Repeated measurements confirm the pattern and stability. The surgeon discusses whether the main goal is binocular function, relief from double vision, head-posture improvement, alignment or a combination.
Pre-anaesthesia preparation
Medical history, medicines, allergies and fasting instructions are reviewed. Children usually require general anaesthesia; the anaesthesia plan for adults depends on health and the procedure.
Eye-muscle adjustment
Through the conjunctiva, selected muscles are recessed, resected, plicated or otherwise repositioned. The eyeball is not removed and there is normally no skin incision.
Recovery and follow-up
Redness, grittiness and discomfort with eye movement are expected initially. Drops, activity restrictions and review dates are individualised, and alignment is assessed as swelling settles.
What surgery can aim to improve
Eye alignment, binocular cooperation in suitable patients, double vision, visual confusion, abnormal head posture and the social or functional impact of misalignment.
What should be understood beforehand
Perfect alignment cannot be guaranteed. Residual or recurrent squint, temporary or persistent double vision, scarring, infection, anaesthesia complications and the rare risk of serious eye injury are discussed during consent.
What may continue afterward
Glasses, amblyopia treatment, prism or later surgery may still be required. Redness can remain for weeks even when discomfort improves within days.
Adult squint care
Eye straightening is not “only cosmetic,” and adulthood is not too late.
Adults may have residual childhood squint or a deviation caused by nerve palsy, thyroid eye disease, trauma, stroke-related disease or age-related orbital change. New adult squint commonly causes double vision and should be investigated before treatment.
Prism, selected exercises or surgery may reduce symptoms and improve alignment. Eye-muscle surgery can be reconstructive because misalignment affects visual function, head posture, confidence and quality of life—not appearance alone.
Insurance and cashless guidance
Squint surgery may be medically reconstructive, but policy approval is individual.
Consultations and measurements may be handled differently from surgery. Pre-authorisation can require diagnosis, photographs, prism measurements, symptom documentation, previous treatment and the proposed muscle procedure.
JEWCC can help prepare available clinical and surgical documents, but eligibility, package limits, co-payments and final approval remain with the insurer or TPA.
Squint surgery centre
Consultation by appointment. Surgery coordinated at Nallasopara East.
Call before travelling so the team can confirm the consultant’s next clinic location and time. After the surgical plan is finalised, JEWCC coordinates pre-anaesthesia preparation and the operative date at its Nallasopara East surgical centre.
Nallasopara East
Jaypuriya Eye Care Centre
Eye CareOperation Theatre
Shop No. 9 & 10, 1st Floor, Sunshine Garden, Opp. Shanti Park, Near Railway Station, Nallasopara East - 401209 +91 96650 86467 Squint FAQs
Useful answers before a surgeon appointment.
01When is the consultant squint surgeon available?
The consultant squint surgeon sees patients by prior appointment. Call or message JEWCC with the patient’s age, main concern and preferred centre so the team can confirm the next consultation location and timing.
02Does every squint require surgery?
No. Some squints improve with the full glasses prescription, amblyopia treatment, prisms or observation. Surgery is considered when the type, frequency, measurements, symptoms or functional goals make eye-muscle repositioning appropriate.
03Can squint surgery be performed at JEWCC?
Yes. Squint surgery is available through JEWCC and is coordinated at the Nallasopara East surgical centre after consultation, measurements and pre-anaesthesia assessment. The surgeon confirms the operative plan, date and suitability.
04Will squint surgery improve weak vision?
Squint surgery changes eye alignment; it does not directly cure amblyopia or replace glasses. Amblyopia is commonly treated before and sometimes after surgery so each eye has the best possible visual input.
05Can adults have squint surgery?
Yes. Adults are not too old solely because of age. Treatment can reduce double vision, improve abnormal head posture, support binocular function and improve alignment and quality of life. A new adult squint first requires evaluation for an underlying cause.
06Can the eyes drift again after surgery?
They can. Most patients obtain meaningful alignment improvement, but under-correction, over-correction or later change is possible. Glasses, prisms or additional surgery may sometimes be required. The surgeon discusses goals and uncertainty for the individual pattern.
07Is squint surgery covered by insurance?
Many policies treat medically indicated eye-muscle surgery as reconstructive rather than cosmetic, but coverage varies. Pre-authorisation may require photographs, alignment measurements, diagnosis records and the proposed procedure. The insurer or TPA makes the final decision.
Patient information reviewed against AAPOS: Strabismus AAPOS: Strabismus surgery AAPOS: Adult strabismus