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Landolt in his classical work says: "A strabismus operation, when undertaken without an exact knowledge of the optical and muscular functions of the eye, is but a rude and dangerous experiment." The reason for this statement springs from the fact that strabismus is merely a symptom of numerous pathologic and congenital defects, and its rational management calls for the study and removal, or correction of these, so far as is practicable. The story of strabismus well illustrates the persistency by which the profession traces a symptom to its origin, in order that its cause may be removed and the symptom cured. Failure of squint operations has led to such study as revealed the reasons for the past defects and the methods for future success.
At present we know that some cases of squint are readily curable, that some are incurable, and others doubtful, calling for additional study ere they can
CONNOR L. STRABISMUS AS A SYMPTOM, ITS CAUSES AND ITS PRACTICAL MANAGEMENT. JAMA. 1895;XXIV(26):1002–1004. doi:10.1001/jama.1895.02430260008002b
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