From this study, we conclude that a number of therapeutic options are available for the management of recurrent strabismus. Careful and proper primary surgery is very important in avoiding recurrence and special attention must be directed towards reversing amblyopia and correcting anisometropia in the preoperative period. The best prospects for a favorable outcome in recurrent strabismus occur with a shorter interval between procedures and in smaller angles. Recurrent strabismus may be amenable to treatment with non-surgical modalities that were previously unsuccessful prior to the primary surgery. When reoperation is necessary, the choice of the procedure depends upon the type of deviation, the initial operation and the unique sensory and motor characteristics of the individual patient.