My best friend's son had a problem with the alignment of his eyes. One of his eyes turned inward. They did the first surgery on him at about 18 months old. He is now 6 years old and he had his second surgery a few weeks ago. It is obvious that both his eyes are turned significantly outward and upon bringing him for a follow-up visit with the surgeon he said something like "I didn't expect this" and immediately recommended another surgery quickly to correct his over correction. The child is having double vision now with these outward turned eyes. My friend is bordering on hysterical with worry. I have read a little about this surgery and have tried to console her by telling her that they can fix the problem but I have to admit I too am worried for her and her child. His eyes are clearly significantly misaligned outward now (before surgery one of them was inward). Could someone tell me if this is a common complication and if the prognosis for the child after yet another surgery is good? She is so worried about all the trauma and scar tissue in his eyes due to all the surgery and is worried they cannot fix the problem. I suggested that she get another opinion because personally I do not know if I would allow the same surgeon to operate on the child again. This was not just a slight misalignment. The problem is there is only one group in our city that has such surgeons. I have told her she should try to go out of state to Mayo if there was someone that is renowned for his or her expertise. Could someone please address my concerns and let me know who is the best strabismus surgeon in the southeastern US. We want to make sure that this next surgery has the greatest possible chance for success.