Abstract: Strabismus surgery may trigger hemodynamic changes in the anterior and posterior segments of the eye, further affecting postoperative ocular health and visual function. However, different strabismus surgeries involve different types of muscles, surgical methods, and surgical incisions that have different effects on ocular hemodynamics and duration. Strabismus surgery may cause impaired anterior segment blood flow and increased or decreased retinal and choroid blood flow. The risk of anterior segment ischemia can be reduced by using imaging methods such as iris angiography, color Doppler imaging, and optical coherence tomography angiography (OCTA) to assess the risk factors before strabismus surgery, and selecting an appropriate surgical plan. At the same time, high-precision imaging methods can be used to monitor and evaluate the changes of iris, retina and choroidal blood flow after surgery, which is helpful for the early detection and treatment of ischemia-related complications. (Int Rev Ophthalmol, 2024, 48:  298-304)

Key words: strabismus/surgery, hemodynamics