What to Expect During Your Initial Private Squint Surgery Consultation

Why Choose Private Squint Surgery?

In the UK, squint surgery may be performed via the NHS, through insurance, or as self-pay. NHS treatment is free, but waiting times can be long and surgery is often performed by trainees under supervision. Many operations are carried out by surgeons who mainly specialise in children’s squint rather than adult complex cases.

With insurance, fees are standardised — meaning some leading specialists choose not to participate. Self-pay allows you to choose your surgeon directly and prioritise experience, specialisation, and access.

Many centres quote only a surgical fee. Hospital costs, anaesthetic fees and follow-ups are frequently additional. At London Squint Clinic, everything is included in one transparent package.

Our Complete Package – £10,000

  • ✔ Advanced surgery by Mr Ali (one or both eyes)
  • ✔ Adjustable sutures where clinically indicated
  • ✔ Detailed orthoptic planning
  • ✔ All hospital & anaesthetic fees included
  • ✔ Post-operative medication
  • ✔ Two video follow-ups
  • ✔ Face-to-face review appointment

What Makes Us Different

  • ✔ 100% focused on adult squint & double vision surgery
  • ✔ >95% audited success rate
  • ✔ Free re-treatment at 3 months if worse (extremely rare)
  • ✔ 24/7 direct WhatsApp access to your surgeon during recovery
  • ✔ Optional well-being session & pre-op reassurance call

Initial consultation: from £150
Surgery typically within 4 weeks. No referral required. Self-pay only.

Private Squint Surgery Consultation: Your Path to Alignment

A private squint surgery consultation is a comprehensive medical assessment to diagnose the cause of your eye misalignment (strabismus) and create a personalised surgical plan. This initial appointment with an eye muscle specialist involves a detailed eye examination, precise measurements, and a discussion of your visual goals. The consultation is crucial for understanding the surgical options, potential outcomes, and the steps involved in correcting adult strabismus or diplopia. This assessment ensures your treatment is tailored to your specific condition, whether it involves revision surgery or a complex neurological cause.

At London Squint Clinic, your assessment is conducted by Mr Nadeem Ali, a consultant specialist with extensive experience in adult strabismus and neuro-ophthalmology, including 13 years at Moorfields Eye Hospital. This focused expertise ensures a thorough evaluation of your condition.

To explore your options, contact us to schedule your consultation. You can also reach us via: View private surgery costs, Book an appointment, Read More

What to Expect: Your Initial Private Squint Surgery Consultation

An initial private squint surgery consultation is a medical assessment to diagnose the cause of your eye misalignment (strabismus) or double vision (diplopia). Led by consultant surgeon Mr Nadeem Ali, this appointment is the first step in creating a personalised surgical plan to restore eye alignment and single vision.

This meeting is a detailed discussion about how your condition affects your daily life, your visual goals, and potential treatments. It is an opportunity to ask questions and establish a relationship with your surgeon.

The Purpose of Your First Appointment with a Specialist

The primary goal of the consultation is to create an actionable plan. This involves a precise diagnosis, understanding your symptoms and personal objectives, and formulating a tailored treatment strategy. Adult strabismus is often complex, linked to previous surgeries, neurological conditions, or age-related changes. A specialist consultation considers every factor to design a surgical approach for your specific anatomy and visual needs.

Why is a Specialist Consultation Crucial for Adult Strabismus?

Adult strabismus and diplopia differ from childhood conditions. The causes can be more complex, and many patients have had unsuccessful treatments. A consultation with an eye muscle specialist focused on adult conditions is critical for a successful outcome.

A general ophthalmologist has broad knowledge, but a specialist has focused experience in adult eye muscle surgery. This includes managing scar tissue from prior operations, addressing cranial nerve palsies, and correcting misalignments from conditions like Thyroid Eye Disease. This specialisation informs the diagnosis and surgical plan, including interpreting test results and selecting the surgical technique.

The Expertise of Mr. Nadeem Ali

Mr Nadeem Ali’s practice is dedicated to adult squint and double vision surgery. His background includes a career at Moorfields Eye Hospital, where he was a consultant from 2010 to 2023 and Lead for Adult Squint, Double Vision, and Neuro-Ophthalmology. His training at Cambridge University and fellowships, including at the National Hospital for Neurology and Neurosurgery, Queen Square, provide the knowledge needed for complex cases.

This experience means you are assessed by a surgeon who understands the full spectrum of adult eye alignment disorders. You can learn more about Mr. Nadeem Ali’s unmatched expertise.

How to Prepare for Your Private Squint Consultation?

Essential Information to Bring to Your Appointment

Bring the following to streamline the diagnostic process:

  • Medical History: A summary of your general health, including any known medical conditions and past surgeries.
  • Previous Eye Records: If you have seen other specialists, bring any letters, scan results, or notes from those appointments.
  • Medication List: A current list of all medications you are taking, including dosages.
  • Symptom Diary: Note when your squint or double vision is most noticeable, what makes it better or worse, and how it impacts activities like reading or driving.

A key benefit of a private pathway is direct access. At London Squint Clinic, a GP referral is not required, allowing self-referral.

Key Questions to Ask Your Squint Surgeon

Consider asking:

  • What is the specific diagnosis for my eye misalignment?
  • What are the surgical and non-surgical options available to me?
  • What are the potential benefits and risks associated with the recommended surgery?
  • What does the recovery process involve, and how much time will I need off work?
  • What is the expected outcome in terms of eye alignment and double vision?
  • Are adjustable sutures a suitable technique for my case?

The Consultation Process: Examinations and Surgical Planning

Your strabismus consultation involves detailed tests and a discussion. This pre-operative assessment gathers data on your eye muscle function to formulate a surgical plan.

Comprehensive Eye Examinations During Your Visit

The eye examination is tailored to your symptoms. Mr. Ali performs several non-invasive assessments to measure your eye misalignment, which are essential for an accurate diplopia diagnosis and surgical planning.

What to Expect: Your Initial Private Squint Surgery Consultation
View data as table
Key Components of the Strabismus Examination
Assessment Type Purpose What it Involves
Visual Acuity To measure the sharpness of your vision in each eye. Reading letters on a standard eye chart (Snellen chart).
Eye Movement Assessment To check the function of the individual eye muscles. Following a light or target in different directions of gaze.
Prism Cover Test To precisely measure the angle of the squint in different positions. Using special prisms to neutralise the misalignment while you focus on a target.
Stereopsis (3D Vision) Test To evaluate your depth perception and brain’s ability to fuse images. Viewing specialised images, often with 3D glasses, to identify shapes.

Understanding Your Initial Surgical Plan and Options

Following the examination, Mr. Ali will explain the findings, the diagnosis, and how it relates to your symptoms. A preliminary surgical plan is then outlined. He will describe the proposed surgical approach, including which muscles need adjustment, and explain the rationale. For many adult patients, adjustable sutures allow for fine-tuning eye alignment shortly after the operation; he will discuss if this is a suitable option for you.

Beyond Diagnosis: Understanding Your Personalised Surgical Plan

A successful outcome requires a personalised surgical plan. The plan considers clinical measurements, your personal goals, and the condition’s functional and emotional impact to achieve straight eyes and comfortable single vision.

What Happens After Your Consultation?

After your initial appointment, you will receive a summary letter outlining the diagnosis, examination results, and recommended surgical plan, allowing you to make an informed decision. If you proceed, the clinic will coordinate a surgery date, typically within a few weeks. During this period and your recovery, you will have direct access to Mr. Ali via WhatsApp for any questions. You can read more about your complete private squint surgery journey.

Transparent Pricing

The clinic uses a fixed package price for surgery, covering the procedure and follow-up appointments, which eliminates variable costs. A re-operation policy is also in place for reassurance.

Beyond Diagnosis: Understanding Your Personalised Surgical Plan
View data as table
Comparing Care Pathways for Adult Strabismus
Feature Specialist Private Pathway Standard Pathway
Access Speed Consultation and surgery can often be arranged within weeks. Waiting lists can be extensive, often lasting many months or longer.
Surgeon Continuity Care is provided by the same consultant specialist from start to finish. You may see different doctors at various stages of your care.
Specialisation Clinic focuses exclusively on adult strabismus and diplopia. Care is often provided in a general ophthalmology department.
Referral Process Self-referral is standard, allowing direct access. A GP referral is typically required, adding an extra step.

Ready for Clearer Vision? Book Your Expert Consultation

A Harley Street consultation provides the answers and a clear path to make your decision. In-person and video appointments are available for patients in the UK and abroad.

Take the First Step Towards Aligned Vision

To explore how surgical techniques can address your eye alignment or double vision, schedule a consultation with Mr. Nadeem Ali. This will help you understand your condition and potential outcomes. Book an appointment.

Conclusion

Your initial private squint surgery consultation is a critical step toward correcting eye misalignment or double vision. It is a diagnostic process that lays the groundwork for a personalised surgical plan. Choosing a surgeon focused on the complexities of adult strabismus is key. This specialisation ensures your condition is understood and addressed with appropriate techniques. To learn more or to schedule your assessment, contact us.

View private surgery costs, Book an appointment, Read More

Frequently Asked Questions

What is the cost of an initial private squint surgery consultation at London Squint Clinic?

An initial private squint surgery consultation with Mr. Nadeem Ali is priced from £150 for a video consultation or £375 for an in-person consultation. This fee covers a comprehensive assessment and discussion to formulate your personalized surgical plan.

How long does a typical private squint surgery consultation last?

A comprehensive private squint surgery consultation typically involves a 30-minute appointment directly with Mr. Nadeem Ali. This allows ample time for detailed examinations, a thorough discussion of your symptoms and medical history, and the determination of your suitability for surgery.

Is a referral required to book a private squint surgery consultation with Mr. Nadeem Ali?

No, a referral is not required to book your initial private squint surgery consultation at the London Squint Clinic. Patients can self-refer directly to Mr. Nadeem Ali for specialist assessment, allowing for faster access to care.

What specific examinations are performed during the private squint surgery consultation?

During your private squint surgery consultation, Mr. Ali conducts detailed eye movement and alignment tests, precisely measures the degree of your squint, and assesses your binocular vision. These comprehensive evaluations are crucial for tailoring an effective surgical approach.

Can I have a video consultation if I live outside of London or the UK?

Yes, the London Squint Clinic offers video consultations for patients residing elsewhere in the UK or internationally. This option ensures access to Mr. Nadeem Ali’s expertise, complementing in-person appointments available at clinics in Harley Street and Sutton.

What makes Mr. Nadeem Ali uniquely qualified for a private squint surgery consultation?

Mr. Nadeem Ali brings 24 years of eye surgery experience, including 13 years as a Consultant at Moorfields Eye Hospital, to each private squint surgery consultation. His exclusive focus on adult squint and double vision surgery ensures highly specialized expertise and continuity of care from the initial assessment.

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dr nadeem ali scaled

Hello, I’m Nadeem Ali

I’m one of the few eye surgeons in the world with 100% focus on Squint and Double Vision Surgery.

I have 24 years of eye surgery experience, and worked for 13 years as a Consultant at London’s renowned Moorfields Eye Hospital.

In 2023, I left the NHS to focus fully on treating patients from across the world at the London Squint Clinic. You can read more about me here.

There’s lots of information on the website about: squint surgery, double vision surgery and our pricing.

The most rewarding part of my job is hearing patients tell me how squint or double vision surgery has changed their lives. You can hear these stories here.

Mr Nadeem Ali

MA MB BChir MRCOphth FRCSEd(Ophth)