Combined strabismus
Correcting combined vertical-and-horizontal strabismus with specialized expertise.

Signs it's time to visit
- Eye misalignment in more than one direction at once
- Noticeable double vision across multiple gaze directions
- Delayed treatment increasing the risk of amblyopia
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Ask on WhatsAppIn combined strabismus, a patient has two types of misalignment at once — a horizontal deviation (inward or outward) together with a vertical one. Repair surgery is among the most complex in strabismus care, since working on the vertical muscles can affect horizontal eye position and the upper eyelid, and vice versa. This is why combined strabismus requires a specialist who can determine whether correction is done in one step or two, depending on the eye's surgical response and how consistently the patient wears prescribed glasses afterward.
Your treatment includes
- Careful analysis of both horizontal and vertical components
- A one- or two-stage surgical plan based on the case
- Glasses and patching exercises after surgery when needed
Quick facts
- Category
- For adults
- Suited for
- Children and adults
- Patient rating
- 4.9
Precise diagnosis and elegant care from the first visit. I feel I am in safe hands.
Everything you want to know
A type of strabismus that combines more than one direction of deviation at once — not just horizontal (inward or outward) or vertical (upward or downward) alone, but a mix of both.
Dysfunction in more than one eye muscle at the same time, injuries or neurological conditions affecting more than one eye-movement nerve, or complex congenital cases.
It requires a careful exam to identify each component of the deviation separately — horizontal, vertical, and rotational.
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