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David Lee Guyton

David Lee Guyton, MD

StrabismusPediatric Ophthalmology

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Highlights

Age Groups Seen

  • Child 3-12
  • Adolescent 13-17
  • Young Adult 18-25
  • Adult 26-64
  • Older Adult 65+

Languages

  • English

Gender

Male

Johns Hopkins Affiliations:

  • Johns Hopkins School of Medicine Faculty

About David Lee Guyton

Professional Titles

  • Zanvyl Krieger Professor of Pediatric Ophthalmology
  • The Zanvyl Krieger Children's Eye Center at the Wilmer Institute

Primary Academic Title

Professor of Ophthalmology

Johns Hopkins Physician

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Background

David L. Guyton, M.D., is the Zanvyl Krieger Professor of Ophthalmology. He is internationally known for his contributions, inventions, and teaching in the fields of ophthalmic optics, clinical refraction, potential acuity testing, and ocular motility. His clinical practice in strabismus is heavily surgical, both pediatric and adult, with emphasis on re-operations and cyclovertical surgery, using adjustable sutures. With adults comprising more than 80 percent of his strabismus surgical cases, Dr. Guyton has contributed significantly to our knowledge of strabismus complications from local anesthetics, the “inverted Brown pattern,” the “dragged-fovea diplopia syndrome,” theories of how and why strabismus develops in the first place, and how and why it can change over time. Dr. Guyton is currently developing automated instruments for the vision screening of infants and children.

Recent News Articles and Media Coverage

  • Passing the Scalpel in Strabismus, Wilmer Insider (June 2021)

    WRA Day: Steeped in History, Rooted in Education, Wilmer Insider (May 2021)

    How to Protect Children's Eyes During Remote Learning, New York Times (Aug. 2020)

    How Do Our eye Move in Perfect Synchrony?, Live Science (Jun. 2020)

    Theory That da Vinci's Art Was Tied to Rare Eye Condition Refuted, CNN (Nov. 2019)

    Why Rembrandt and da Vinci may have painted themselves with skewed eyes, Science News (Dec. 2019)

Contact for Research Inquiries

600 N. Wolfe Street
Baltimore, MD 21287-9028

dguyton@jhmi.edu

Research Interests

Causes and mechanisms of changes of strabismus over time, especially cyclovertical strabismus, Feedback techniques to treat blink deficiency, Novel instruments for screening for neurologic dysfunction, Novel instruments for screening for strabismus, amblyopia, and refractive errors, Novel techniques for the treatment of amblyopia and defects of binocular function, Ophthalmic instrumentation, Ophthalmic optics, Strabismus surgical techniques, especially adjustable sutures in children and adults

Research Summary

For more information about David Guyton's research view his CV and PubMed.

Selected Publications

  • Guyton DL, Hunter DG, Sandruck JC, Patel SN, Fry RL. Eye fixation monitor and tracker.  U.S. Patent No. 6,027,216. February 22, 2000.

  • Guyton DL. Dissociated vertical deviation: Etiology, mechanism, and associated phenomena. Costenbader Lecture. J AAPOS 2000;4:131-144.

  • Guyton DL. Exaggerated traction test for the oblique muscles.  Ophthalmology 1981;88:1035 1039.

  • Guyton DL. The American Optical SR IV Programmed Subjective Refractor:    Principles of design and operation. Am J Optom Physiol Optics 1982;59:800-814. 

  • Guyton DL. The Mildred Weisenfeld Award Lecture:  Ocular torsion reveals the mechanisms of cyclovertical strabismus.  Invest Ophthalmol Vis Sci 2008;49:847-857.

Honors

  • Marshall M. Parks, M.D., Medal, American Association for Pediatric Ophthalmology and Strabismus, 4/21/14
  • Lifetime Achievement, American Association for Pediatric Ophthalmology and Strabismus, 1/1/10
  • Mildred Weisenfeld Award, Association for Research in Vision and Ophthalmology, 1/1/07
  • President, Association for Research in Vision and Ophthalmology, 1/1/95
  • President, American Association for Pediatric Ophthalmology & Strabismus, 1/1/93
  • Senior Honor Award, American Academy of Ophthalmology, 1/1/91

Memberships

  • American Academy of Ophthalmology
  • American Optical Society
  • Association for Research in Vision and Ophthalmology (ARVO)
  • American Association for Pediatric Ophthalmology & Strabismus (AAPOS)
  • National Advisory Eye Council, National Institutes of Health ‚Äì 1992-95

Locations

  1. The Johns Hopkins Hospital
    • 1800 Orleans Street, Maumenee Lobby, Baltimore, MD 21287
    • Get Directions

Expertise

Education

  • Fellowship: Baylor College of Medicine, 1977
  • Residency: Johns Hopkins University School of Medicine, Ophthalmology, 1976
  • Medical Education: Harvard Medical School, MD, 1969

Board Certifications

  • Ophthalmology: American Board of Ophthalmology, 1977

Insurance

Please contact the location directly to confirm your health plan is accepted.
Search plans
  • Aetna
  • CareFirst
  • Cigna
  • First Health
  • Geisinger Health Plan
  • HealthSmart/Accel
  • Johns Hopkins Health Plans
  • MultiPlan
  • Pennsylvania's Preferred Health Networks (PPHN)
  • Point Comfort Underwriters
  • Private Healthcare Systems (PHCS)
  • Veteran Affairs Community Care Network (Optum-VACCN)

Ratings & Reviews

5 out of 5

33 ratings, 16 reviews

The Patient Rating score is an average of all responses to physician related questions on the national CG-CAHPS Medical Practice patient experience survey through Press Ganey. Responses are measured on a scale of 1 to 5, with 5 being the best score. Comments are also gathered from our CG-CAHPS Medical Practice Survey through Press Ganey and displayed in their entirety. Patients are de-identified for confidentiality and patient privacy.

Overall Rating by Patient
Provider Listened Carefully
Provider Explained Things Clearly
Provider Knew Medical History
Provider Showed Respect
Provider Spent Enough Time
Search reviews
    5 out of 5 stars
    Reviewed on 1/6/2026

    Dr G is honorable , and a great example of old fashioned great medical care.

    5 out of 5 stars
    Reviewed on 10/7/2025

    Dr. Guyton is really a unique, one in a million provider. His dedication to his work is second to none and we are so appreciative of the fact that he is still sharing his knowledge at a time most would be fully retired. We traveled from Ohio because we were conflicted on what the best course of treatment would be for our daughter. He provided a thoughtful and nuanced recommendation that we feel confident about.

    5 out of 5 stars
    Reviewed on 10/7/2025

    Dr. Guyton is an amazing ophthalmologist. He took his time trying to determine my issues, and he did not stop until he was sure his assessment of my problem was Correct.

    5 out of 5 stars
    Reviewed on 9/30/2025

    Professional, talented, compassionate.

    5 out of 5 stars
    Reviewed on 9/30/2025

    Dr. Guyton was professional and made sure he answered all my questions.

    5 out of 5 stars
    Reviewed on 9/2/2025

    Dr. Guyton is an expert in his field. I have tremendous respect for him.

    5 out of 5 stars
    Reviewed on 8/12/2025

    The most outstanding ophthalmologist! Brilliant, compassionate, kind

    5 out of 5 stars
    Reviewed on 7/22/2025

    Dr Guyton is wonderful. I'm lucky I was able to see him.

    5 out of 5 stars
    Reviewed on 7/22/2025

    Dr. Guyton is one of a kind.

    5 out of 5 stars
    Reviewed on 7/22/2025

    Dr Guyton is a top notch doctor and ultimate professional. It is a pleasure to be in his care.

    5 out of 5 stars
    Reviewed on 7/8/2025

    Dr. David Guyton was very concerned about my issues, he was very thorough and very knowledgeable. I was honored to be cared for by him.

    5 out of 5 stars
    Reviewed on 7/8/2025

    Great provider

    5 out of 5 stars
    Reviewed on 6/3/2025

    Dr guyton's soft mathre voice is djfficult for rme to hear.

    5 out of 5 stars
    Reviewed on 5/27/2025

    Dr guyton is wonderful

    5 out of 5 stars
    Reviewed on 5/20/2025

    It is so obvious that Dr Guyton truly cares about his patients.

    5 out of 5 stars
    Reviewed on 5/13/2025

    Dr Guyton was the consulate professional, I felt I was in excellent hands for my strabismus surgery and the follow up appt.