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Volume 48, 1998, p. 1620

Treatment of Acquired Esotropia: For Augmented Surgery (Abstract)
Mark J. Greenwald, M.D. Janine R. Eagle, M.D. Cathryn Peters, L.P.N. Betty Anne Haldi, C.O.

Undercorrection remains a common occurrence when acquired esotropia, particularly with convergence excess or accommodative component, is treated using standard Surgical management. Prism adaptation may be of some value in reducing the frequency of this problem, but published data, including the results of the Prism Adaptation Study, indicate persistent undercorrection rates of nearly 20%. Other approaches, including modified dosage tables, operating for the near angle, and augmenting surgery based on the accommodative component have been proposed and supported by data from a number of small clinical series. A review of recent experience at our institution shows that augmentation of surgery using a combination of these approaches can provide excellent results (motor success in 30 of 31 patients).