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As the title suggests, my paper is entirely on practical points gleaned from a rather extensive experience in the correction of errors of refraction. I examine the ocular muscles of every case that I refract and when any muscular insufficiency is discovered, a record of it is made. The subject of heterophoria or insufficiencies of the ocular muscles has become one of such vast importance that I hesitated for sometime, wondering whether I had sufficient experience with a large enough number of cases to justify me in expressing an intelligent opinion. In looking over my case-book I find a record of about a thousand cases, of which I kept rather accurate notes, and I think the results obtained will support the views I entertain upon this subject. After all, it is following up one's cases and watching the results for several years afterward that gives us the experience worth placing
PARK JW. PRACTICAL POINTS GAINED IN THE TREATMENT OF ONE THOUSAND CASES OF INSUFFICIENCIES OF THE OCULAR MUSCLES. JAMA. 1895;XXV(19):785–786. doi:10.1001/jama.1895.02430450001001
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