Adult Strabismus

Strabismus is a term used to describe eyes which are not properly aligned, either horizontally, vertically or torsionally. When the eyes are turned in towards each other, the misalignment is called esotropia. When they deviate away from each other: the misalignment is termed exotropia. When one eye is higher or lower than the other: the misalignment is called hypertropia. Torsional strabismus is difficult to detect by the lay person; however, a sign of torsional strabismus is a manifestation of a face-turn or head tilt towards either shoulder.

Adult strabismus occurs in three to five percent of the population. It is frequently a residual of a childhood onset but can occur in adults following a head injury, stroke, or as a part of systemic diseases such as diabetes and high blood pressure.

There is a common misconception that strabismus in adults cannot or should not be corrected. The belief that three-dimensional or binocular vision cannot be improved in adults is a grossly incorrect statement. There is ample evidence in the ophthalmic literature that demonstrates significant improvement in binocularity when strabismus is corrected in the adult population. There is much hope for the adult who has strabismus or misalignment of the eyes.

With the extensive experience of our staff, and with improved surgical techniques, our adult patients can expect a high degree of success and satisfaction from strabismus surgery. The goal of treatment is to align the eyes in the primary (straight ahead) and in the reading positions. Surgery is performed on an outpatient basis either under general or local anesthesia and patients may return to their normal activities within a few days.

There is no need to suffer the embarrassment of a strabismus condition. If you or someone you know has strabismus or ocular misalignment, call Guggino Family Eye Center to schedule an evaluation.

Dr. Jack Guggino has been practicing pediatric ophthalmology and adult strabismus in Tampa since 1974. He received his Fellowship training at the National Childrens Medical Center in Washington, D.C, under the world-renowned strabismologist, Marshall M. Parks, M.D.

Dr. Guggino is Director of the Center for Adult Strabismus at the Guggino Family Eye Center: Director of Pediatric Ophthalmology at Tampa Childrens Hospital, a member of the American Academy of Ophthalmology and the American Association of Pediatric Ophthalmology and Strabismus.

He is known for his clinical research on strabismus and has presented his work at numerous meetings and seminars. Dr. Guggino is the ophthalmology consultant to the Tampa Bay Buccaneers, the Devil Rays, as well as a ringside physician and commissioner of the Florida State Athletic Commission.

Esotropia Strabismus Hypertropia strabismus Exotropia Strabismus