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January 1963

Bilateral Eccentric Fixation

Author Affiliations

Iowa City
From the Department of Ophthalmology, College of Medicine, State University of Iowa.

Arch Ophthalmol. 1963;69(1):25-31. doi:10.1001/archopht.1963.00960040031007

The frequent occurrence of eccentric fixation in the amblyopic eye of a strabismic patient has been well recognized, and its pathophysiology was discussed in detail in a recent publication.1 On that occasion it was reported and demonstrated that true eccentric fixation with accomplished adjustment to an extrafoveal retinal area, which becomes the zero point of sensory and motor orientation, is not limited to strabismic patients alone but also occurs in patients with bilateral macular disease of longer duration, where it may be present in both eyes.

Bilateral eccentric fixation in patients with strabismus has not been described before and will be discussed in this paper and illustrated by studies performed in 2 cases.

Materials and Methods 

Case. 1.  —This white male, age 18 years, had no family history of strabismus. A full-term baby, he had had an uncomplicated delivery. He had spinal meningitis at age 1½; both eyes turned

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