AIM: To investigate the feasibility of strabismus diorthosis under microscope using general micro equipments. METHODS: Divided the cases with strabismus into two groups: 36 cases underwent strabismus diorthosis under microscope using general micro equipments; and 45 cases underwent traditional strabismus diorthosis directly. RESULTS: The follow-up lasted for 2 weeks to 6 months. The post operation reaction in the group under microscope was light, conjunctival edema and congestion disappeared quickly, wound healed well, no complication occurred. In the other group, muscle slippage occurred in 2 cases, bulbar conjunctiva hyperemia, subconjunctival hemorrhage and edema occurred in 40 cases, conjunctival scar occurred in 10 cases, conjunctiva cyst 2 cases and conjunctival polypus 3 cases. CONCLUSION: Strabismus diorthosis under microscope has clear advantages compared with traditional strabismus diorthosis (without microscope). The muscle, blood tube and the move of needle in sclera as well as the depth can be seen clearly during the operation which make the operation easy to control, so we can properly and correctly perform the operation, shorten the operation time and avoid complications like blooding, penetrate sclera which often occur during the traditional operation. The strabismus diorthosis under microscope using general micro equipments can also separate structure correctly with fewer operation steps, light reaction after operation, sooner recovery after operation, which is suit to patient who needs strabismus diorthosis.