Harvard Catalyst Profiles

Harvard College, Cambridge, MA	BS	1978	Biochemistry
Harvard Medical School, Boston, MA	MD	1983	Medicine
Georgetown University Hospital, Washington, DC		1984	Internship Internal Medicine
National Eye Institute, Bethesda, MD		1985	Neuro-Ophthalmology
Georgetown University Hospital, Washington, DC		1988	Residency Ophthalmology
Boston Children's Hospital, Boston, MA		1989	Fellowship Pediatric Ophthalmology

I am an ophthalmologist with expertise in extremely complex strabismus. I have concentrated on two populations: children with craniosynostosis and adults with diplopia from prior trauma, neurologic, or endocrine disorders. My research focuses on understanding and modeling causes of unique forms of strabismus, and on developing appropriate surgical treatments. In addition, I function as the ophthalmic consultant to our craniofacial division at Boston Children's Hospital and, as such, have championed research on atypical forms of strabismus and on monitoring optic neuropathy seen in this population.

I have spent the last 20 years modeling and managing strabismus and developing a protocol for treating strabismus in patients with atypical orbital parameters associated with craniosynostosis. I have also studied the difference in ophthalmic outcomes associated with treatment by two disparate craniofacial repairs, one performed endoscopically and the other in an open vault approach. Our work has led to a change in management of patients with unicoronal synostosis, and has been expanded to include management of children with multi-suture, syndromic, synostosis. Surveillance studies using OCT to monitor for evolving optic neuropathy have been performed as well.

In the domain of complex strabismus more generally, I have helped to develop modifications to the adjustable suture technique and novel approaches to treating strabismus associated with third nerve and sixth nerve palsy, Duane syndrome, Moebius syndrome and thyroid eye disease.

I was named Chair of the Adult Strabismus Task Force for the American Association of Pediatric Ophthalmology and Strabismus and led the creation of a Preferred Practice Plan for Adult Strabismus for the American Academy of Ophthalmology. I am the Director of Adult Strabismus at Boston Children's Hospital and the Director of Quality Assurance for our Department of Ophthalmology. I serve on the Physician Organization at BCH and on the DOCs peer support group. I am the first female inductee to the North American Association for Research in Strabismus, also known as "Squint Club."

• Craniosynostosis
• Third Nerve Palsy
• Sixth Nerve Palsy
• Duane Syndrome
• Moebius Syndrome
• Apert Syndrome
• Strabismus
• Optic Neuropathy