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Managing Strabismus Syndromes
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Managing Strabismus Syndromes
Journal Article

Managing Strabismus Syndromes

2019
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Overview
If the measurement was similar in the right eye, I would recess approximately 6 mm. Nelson: If the refraction was larger (eg, +2.00 or +3.00 D), would you give the glasses initially and reevaluate the patient or would you still do the surgery? Nelson: The same patient whom you treated comes back 2 years later and now has redeveloped esotropia of 15 to 20 PD, has a 10-degree face turn, is able to abduct the eye just past midline, and has a minimal refraction. Nelson: The next case is also Duane retraction syndrome in a 4-year-old child with a left face turn of approximately 15 degrees, esotropia in the primary position of 25 PD, and a significant leash effect upward on attempted adduction. Nelson: The next patient is a 4-year-old boy who has a right face turn of 10 degrees in primary position and a left hypotropia of 10 PD. He is unable to elevate his left eye in the adducting position, but the elevation improves in the straight up and abducting positions.