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Leonardo da Vinci's exotropia may explain his artistic genius, study suggests

publication · 2026-05-04

A study published in JAMA Ophthalmology by Christopher W. Tyler, a research professor at City University of London and the Smith-Kettlewell Eye Research Institute in San Francisco, proposes that Leonardo da Vinci had intermittent exotropia, a form of strabismus. Tyler examined hypothetical self-portraits attributed to Leonardo, including the Salvator Mundi, Saint John the Baptist, and the Vitruvian Man, and observed a divergence in the pupils. This condition, which affects both eyes intermittently, would have allowed Leonardo to switch between binocular and monocular vision, potentially enhancing his ability to render three-dimensionality in faces, objects, and mountainous landscapes. The study adds to ongoing discussions about Leonardo's genius, following the record sale of the Salvator Mundi for $450 million at Christie's New York on November 15, 2017.

Key facts

  • Study published in JAMA Ophthalmology by Christopher W. Tyler
  • Tyler is a research professor at City University of London and Smith-Kettlewell Eye Research Institute
  • Leonardo da Vinci had intermittent exotropia
  • Exotropia is a form of strabismus causing pupil divergence
  • Tyler examined hypothetical self-portraits: Salvator Mundi, Saint John the Baptist, Vitruvian Man
  • Condition allowed switching between binocular and monocular vision
  • May have aided rendering of three-dimensionality and depth
  • Salvator Mundi sold for $450 million at Christie's New York on November 15, 2017

Entities

Artists

  • Leonardo da Vinci

Institutions

  • City University of London
  • Smith-Kettlewell Eye Research Institute
  • Christie's New York
  • JAMA Ophthalmology

Locations

  • London
  • San Francisco
  • New York

Sources