Who is a good candidate for adjustable-suture strabismus surgery?

Ideal candidates include adults and older children with persistent or recurrent strabismus (crossed or wandering eyes) who have stable vision and can cooperate during the postop adjustment. It is especially beneficial for complex cases, such as reoperations, thyroid eye disease, or paralytic strabismus. Contraindications include active eye infections, severe nystagmus, or patients unable to follow instructions during the adjustment.