This chapter delves into the significance of orthoptic reportsOrthoptic report in guiding ophthalmologists to achieve successful surgical outcomes for patients with strabismusStrabismus. It explores the critical questions that need answering to ensure optimal results, distinguishing between functional (binocular single vision—BSV) and cosmetic outcomes. Understanding orthoptic reportsOrthoptic report is pivotal in confirming diagnosesDiagnosis, assessing binocularity, and determining the extent of strabismusStrabismus, all of which are crucial for effective management, including surgical intervention.