Dr Lionel Kowal

Dr Kowal's [pronounced Koval] practice is restricted to strabismus and pediatric ophthalmology.


Dr. Kowal is probably the busiest strabismus surgeon in Australia. If the Health Insurance Commision statistics are accurate ( and they should show all procedures that are billed through Medicare), then over the period July 1st 2019-  June 30th 2020, Dr Kowal personally performed 12% of all private strabismus surgeries in Australia and over 40% of all private strabismus surgeries in Victoria.  

These numbers are as accurate as possible and use a combination of our own data (we can vouch is accurate) and data provided on the Medicare statistics website (we assume is accurate).  The stats only refer to 'private' patients where a Medicare rebate was claimed. They do not include public, TAC or Workcover patients

Audit 2008 - 2012
Dr Kowal performed an audit of all of his surgical cases over the last 5 years.
This has included straightforward cases [high expectations of success] through to the most complex cases [these patients may have had several previous surgeries elsewhere - lower expectations of success].
Some results are:
1. 9% of patients had a 2nd surgery over an average of 30 months followup
That does not mean that 91% had a perfect outcome, but does probably mean that a very high % of patients were satisfied with the outcome.
2. 2 % of patients required a 3rd surgery within 30 months of the first surgery.

Since 1992 Dr. Kowal has been Director of the Ocular Motility Clinic at the Royal Victorian Eye and Ear Hospital.


Fellows since 1990 to the Ocular Motility Clinic, RVEEH

A Fellow is a qualified ophthalmologist who spends a 12 month ‘apprenticeship’ studying, practicing and conducting research in strabismus with the expectation of being recognised as an expert in Strabismus. There is international competition for this position.  Dr Kowal is the main supervisor of this training. 

  • Dr Hadi Prakoso, Indonesia

  • Dr Wutthiphan, Thailand

  • Dr K Davey, England

  • Dr R Battu, India

  • Dr S Sutherland, Scotland

  • Dr Prashant Sahare, India/ UK

  • Dr C Yahalom, Israel

  • Dr R Friling, Israel

  • Dr L Mitchell, New Zealand

  • Dr O Halachmi, Israel

  • Dr Shiva Seth, India

  • Dr R Kini, India

  • Dr N Fumitaka, Japan/ Australia

  • Dr D El Sayed, Egypt

  • Dr A Mahindrakar, India

  • Dr L Bender, UK/USA

  • Dr E Wong, Australia

  • Dr E Landa, Israel

  • Dr R Talebnajad, Iran

  • Dr K Creese, Australia

  • Dr S Nadkarni, India

  • Dr Anat Bachar, Israel

Dr. Kowal is a Senior Fellow of the University of Melbourne Department of Ophthalmology, and holds current memberships in the following associations:

Dr Kowal Speaking at the World Society for Pediatric Ophthalmology and Strabismus meeting [WSPOS]. 2015

Dr Kowal Speaking at the World Society for Pediatric Ophthalmology and Strabismus meeting [WSPOS]. 2015

  • American Association of Paediatric Ophthalmology and Strabismus (AAPOS)

  • International Strabismological Association (Council member since 2002; First Vice President 2002-2010)

  • Neuro Ophthalmology Society of Australia

  • Australian Medical Association

  • Royal Australian and New Zealand College of Ophthalmologists

Dr Kowal receiving his keynote speaker medal.

Dr Kowal receiving his keynote speaker medal.

  • European Strabismological Association

  • North American Neuro-Ophthalmology Society

  • American Academy of Neurology (Section on Neuro- Ophthalmology)

  • He is a Life Member of the Australian College of Behavioural Optometrists.

  • Dr Lionel KOWAL was recently Keynote Speaker in Strabismus @ the World Society for Pediatric Ophthalmology and Strabismus [WSPOS] meeting Barcelona September 2015.

Dr. Kowal lecturing remotely at a meeting in Calcutta (August 2022) & discussing a point with Dr. Pradeep Sharma of New Delhi (formerly Director @ AIIMS)


  • Dr Kowal participates in the Continuing Professional Development program of the Royal Australian NZ College of Ophthalmologists.Certificate can be viewed here .

  • Dr Kowal's Medical Board of Australia registration certificate can be viewed  here.

  • Good Clinical Practice’ training course ; required for Research Activities on patients Certificate  can be viewed here.

  • Reviewer for JAAPOS journal.

  • Reviewer for Clinical and Experimental Ophthalmology.

  • Dr Kowal's caricature