I actually think that there's a significant amount of missing info
here that would make specific recommendations very difficult, BUT ...
as a 3x strab surgery *patient* myself--here's my $0.02:

Get the best.

I've been to Guyton.  He missed some pretty critical stuff in my case,
so he's not the guy I had cut me the last time around.

If you're willing to trave to Southern Californial, my strabismus
ophthalmologist, IMO, is a better bet.

Yes: get the best.  Any reason NOT to??

If you're interested, just e-mail me and I'll give you the contact
info.

Neil

with Dr Guyton at John Hopkins. He's supposedly one of the best.

Otis> Dr. David Guyton is the best!

"ck819" <cherylr819@gmail.com> wrote in news:1149700266.657034.246470
@c74g2000cwc.googlegroups.com:

I think its fair to say that a second surgery can be more complicated
than a first surgery, and there's not always a way to tell before the
surgery.  You want a surgeon who has enough experience to can adapt to
whatever he finds during the surgery.  Guyton certainly has enough
experience to do the job right.  

There are probably very well qualified strab people in Florida as well,
likely at Bascom Palmer.

I believe there is natural vision improvement to resolve an imbalance
in the muscles of the eyes. If that doesnt do, consider having prisms
added to your glasses? Much safer than more surgury.

On 6/7/06 10:11 AM, in article
1149700266.657034.246470@c74g2000cwc.googlegroups.com, "ck819"
<cherylr819@gmail.com> wrote:

There really is no "best" in strabismus these days. Thereare  a lot of fine
and experienced clinician/surgeons, but no one I would characterize as the
"best" (not even me  :-)  )

The best for adult strabismus probably used to be Dr. Jampolsky in San
Francisco - he "wrote the book" on strabismus, and has probably taught more
fellows in the world than anyone else. However, now he is retired.

Then there is Alan Scott in San Francisco ("inventor" of BOTOX for
strabismus treatment).

Then there is Joe Demer in LA, or Art Rosenbaum in LA, or Keith McNeer in
the East Coast, or Burt Kushner in Madison, Wisconsin, or David Guyton in
Baltimore (who I trained with in 1982-83, and who I think is very smart and
respect a lot, but I am thus biased). Or Gunther Von Norden in Texas (? Now
retired, who trained Dr. Guyton). Or Elbert Magoon in Ohio. Or Dr. Cianca in
Argentina (I believe).

Let me tell you a short story. At one meeting, the debate was on treatment
of intermittent exotropia. Three of the best sat on stage, describing what
they would do, and how they would operate. One would weaken the laterals in
each eye, one would strengthen the medials in each eye, and one would do one
lateral and one medial. EACH ONE HAS A DIFFERENT SURGICAL APPROACH, AND EACH
SAID THEIRS WAS THE BEST AND ONLY TREATMENT THAT SHOULD BE USED!

Point is, the list of excellent surgeons goes on and on. There probably is
no "best". Neil's experience with his surgeon may have been great, and he
thinks he is the greatest, and that is fine, you can't argue with success.
It is the experience over the years, and the ingenuity of the person that
makes them a good surgeon. However, the final outcome is subject to the
vagarities of the brain and differences in healing that can make one person
come out great, and another come out poorly, despite the greatness of the
surgeon.

If you do see Dr. Guyton, say hello for me.

David Robins, MD
Board certified Ophthalmologist
Pediatric ophthalmology and adult strabismus subspecialty