All forms of eye misalignment are typically seen by insurance companies as medical, especially when coupled with eye strain or double vision. Eye alignment surgery is performed in adults for a multitude of reasons. Examples include: relief of double vision and restoration of depth perception. Even eye muscle surgery for the improvement in the appearance of ocular misalignment should not be considered cosmetic as surgery is performed to “reconstruct” abnormal ocular alignment. As a service to our patients, we will always pre-certify any surgical procedures with your insurance company to ensure that the surgery is a covered benefit.