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—We thank Dr Coyle for his letter and appreciate his interest in our Photo Essay. The points he raised concerning the possibility of Duane's syndrome associated with Wildervanck's syndrome in our patient are interesting. The child we described, however, had mechanical esotropia due to limitation of abduction in the involved eye from a mass effect that resolved after surgery.
Ziavras E, Farber MG, Diamond GR. Goldenhar's Syndrome-Reply. Arch Ophthalmol. 1991;109(7):916. doi:10.1001/archopht.1991.01080070026011