Aim: To discuss the pharmacological management of a patient following strabismus surgery. Method: The case of an 18-year-old woman who underwent strabismus surgery is described from the perspective of her post-operative pharmacological management. Results: The patient underwent successful and uncomplicated strabismus surgery. The pharmacological treatment is explained from the perspective of controlling the possible post-operative complications. Conclusion: The Royal College of Ophthalmologists does not have a specific guideline on the pharmacological post-operative care of patients following strabismus surgery. Given the lack of significant randomised controlled studies addressing pharmacological care after strabismus surgery, the management in this case was not evidence-based but based on the experience of a senior consultant ophthalmic surgeon.