This was a prospective randomised parallel arm design study for 40 patients. Group 1 consisted of conventional strabismus surgery using the limbal approach and group 2 consisted of minimally invasive strabismus surgery (MISS). Mean age was 21.1±2.73 years for MISS and 19.85±5.7 years for group 1. Group 1 included two esotropia and 18 exotropia cases with preop angle of 55.25±13.03PD reducing to 10.95±5.29PD postop. Group 2 included five esotropia and 15 exotropia cases with preop angle of 48.5±16.55PD reducing to 9.35±4.42PD postop. Postop success was 80% for group 1 and 85% for group 2. The results show no significant difference after three weeks of follow-up. There was a significant difference in postop inflammation prior to three weeks which would impact on patient comfort initially which may be a consideration for quality of life.