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February 1947

MARGINAL MYOTOMYAnalysis of Twenty-Two Cases

Arch Ophthalmol. 1947;37(2):175-181. doi:10.1001/archopht.1947.00890220184008

OPHTHALMOLOGISTS are in agreement about the value of careful refraction and full optical treatment in the management of concomitant strabismus. Beyond this, however, particularly in the field of surgery, one finds many schools of thought concerning the proper procedure in cases of this disorder. This is not surprising, however, since the etiology and pathology of strabismus remain partly unsettled. However, in spite of these and many other difficulties, gratifying progress in the correction of strabismus is being made. Nevertheless, the frequent occurrence of such undesirable conditions as amblyopia ex anopsia, subnormal binocular vision, incomplete corrections and postoperative overcorrection leaves much to be desired in the treatment of strabismus. In an attempt to decrease the incidence of these undesirable conditions, I have resorted to the use of marginal myotomy of the internal rectus muscles in some carefully selected cases during the past five years. Several similar operations and various modifications of

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