May 4, 1964

Time to Operate

JAMA. 1964;188(5):472-473. doi:10.1001/jama.1964.03060310072023

To the Editor:—  After reading Taylor's communication on early surgery in strabismus (Arch Ophthal [Chicago]70:752, 1963) to which further attention was directed by an editorial in The Journal (187:298 [Jan 25] 1964), I feel that a word of caution is in order. While I agree that it would be desirable to have the eyes straight as early as possible to permit simultaneous bifoveal stimulation, I would like to warn against general acceptance of the recommendations according to which surgery in congenital strabismus should preferably be performed between the ages of 6 and 12 months.Most surgeons will agree that the diagnosis has to come before the operation. However, an adequate diagnosis in a strabismic child who is less than a year old is not possible in every case. Measurements of the deviation both near and at a distance will have to be delayed until the child has

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