The adjustable suture technique

Something for my own reference:

The adjustable suture technique - this surgical procedure allows the surgeon to change the eye position in the immediate postoperative period while the patient is fully awake. The operation is done in two stages. In the first stage, the extraocular muscle is secured and placed on a suture in such a way that the muscle location can be changed the following day when the patient is fully awake. The second phase of the procedure entails adjusting the position ofthe muscle so that the eyes are properly aligned. The adjustable suture technique is particularly useful in complicated strabismus cases, such as in the treatment of superior oblique palsies where the eyes can be misaligned vertically, horizontally and even torsionally.
With the adjustable suture technique, there is a much better chance of straightening the eyes with one operation, rather than the multiple surgical procedures often associated with the correction of strabismus in adults.

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1306660/pdf/westjmed00164-0065a.pdf

I can't help googling on this again as my eyes - are diverging so much like they are coming off the eye socket these days...too much of the computer and tv screen...aihs...anyone know of any great doctor for complicated adult strabismus?! It is so sad for me to read that they have great docs (yep, for adult strabismus) in Wilmer Eye Institute, the John Hopkins Hospital in the US....such an impossible choice for me~~

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another reference: http://www.lazyeyesite.org/adult.html
this's a hospital in the UK...sigh, can't help it again, here I go again...is there one such, good eye specialist for adult strabismus in Malaysia?!