New Surgical Methods for Correcting Double Vision and Wandering Eyes

Dr. Jonathan Holmes continues to develop new adjustable suture methods of correcting specific types of double vision and wandering eyes. These methods involve moving the position of the muscles on the eye ball (while under general anaesthesia) and then leaving the sutures long and taped to the eyelid, so that an hour or so after waking from anaesthesia, the alignment of the eyes can be checked and the position of the eye muscles adjusted, under numbing drops, to maximize the success of the surgery. The sutures are trimmed at the bedside, the remaining suture ends are buried and dissolve, and the patient leaves with both eyes open. Dr. Holmes was recently invited to present his new surgical techniques at the International Strabismus Association meeting in Sao Paulo, Brazil, in a paper entitled "Adjustable Superior Oblique Advancement" and the manuscript will be published in the transactions of the meeting.

Ongoing research includes new surgical techniques for improving reading and down gaze in fourth nerve palsy and new surgical methods for patients with jiggling eyes (nystagmus).