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Unique Features of Adult Strabismus

From Northern Virginia Ophthalmology Associates, Inova Fairfax Hospital and Inova Fairfax Hospital for Children, Fairfax, Virginia

Correspondence: Requests for reprints should be addressed to: Forrest J. Ellis, M.D., Northern Virginia Ophthalmology Associates, 6231 Leesburg Pike, Suite 608, Falls Church, VA 22044.

Background and Purpose: The management of adult patients with strabismus is often challenging. These patients usually require time-consuming evaluations. It is common for the patient to have a history of prior surgical interventions.

Patients and Methods: Selected evaluation methods and surgical techniques with particular application to the adult strabismus patient are reviewed. Five categories are considered: 1) Sensory testing; 2) Incomitant strabismus; 3) Re-operations and scarring of the extraocular muscles; 4) Anesthesia; 5) Adjustable sutures.

Results: Selected considerations are important in the management of adult patients with strabismus.

Conclusion: Adult strabismus management requires thoughtful analysis and special considerations, but can be done successfully in most cases with gratifying results both for the patient and for the management team.

Key words: adult strabismus, adjustable sutures, Lancaster red/green test