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January 1997

Strabismus: A Decision Making Approach

Author Affiliations

Minneapolis, Minn

Arch Ophthalmol. 1997;115(1):137-138. doi:10.1001/archopht.1997.01100150139041

This article is only available in the PDF format. Download the PDF to view the article, as well as its associated figures and tables.


The purpose of this text is to describe the cognitive process that Drs von Noorden and Helveston use for diagnosing and treating patients with abnormalities of binocular vision. The format they have chosen is to use algorithms that are illustrated with arrows and boxes. The text includes 38 algorithms that are classified as preliminaries, and 59 that are classified as diagnostic and treatment decisions. I appreciated 7 algorithms conveying basic science information, 15 describing examination techniques, 40 describing the evaluation of specific clinical problems, 15 regarding treatment of particular disorders, and 20 combining the evaluation and treatment of disorders. On the page adjacent to the algorithms is a brief text that elucidates some but not all of the boxes within the algorithms. Approximately 50% of the references cited in the text consist of Drs von Noorden's and Helveston's clinical and basic science research. The reader is thus ensured of receiving

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