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John L. Keltner, MD
Sacramento, Calif

Arch Ophthalmol. 1995;113(4):404.

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In reply

I would like to thank Dr David Hunter for his thoughtful comments on my Editorial.¹ I could not agree more with his thoughts about the importance of strabismus. The purpose of my Editorial was to bring to the forefront the three major indications for strabismus surgery in adults at the present time. I referenced the recent publication by Satterfield et al,² "Psychosocial Aspects of Strabismus Study," in which we intensively looked at the cosmetic and psychosocial implications of strabismus. As published in that article, we demonstrated that in many aspects of patients' lives, they reported difficulty with self-image, securing employment, interpersonal relationships, school, work, and sports. Our patients described these difficulties as actually intensifying during their teenage and adult years. One of the purposes of publishing the research on the psychosocial aspects of strabismus was to avoid using the term cosmetic, or reconstructive, surgery, a term . . . [Full Text PDF of this Article]

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