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October 1965


Author Affiliations

Chairman, Department of Ophthalmology Middlesex General Hospital New Brunswick, NJ

Arch Ophthalmol. 1965;74(4):554-555. doi:10.1001/archopht.1965.00970040556025

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To the Editor:  It is always comforting to have someone state the case for patching the dominant eye as Dr. von Noorden has done in "Occlusion Therapy in Amblyopia With Eccentric Fixation" (Arch Ophthal 73:776-781, 1965). Whether Galen, Paul of Aegina, or Ambroise Pare lay just claim to this discovery will never be known. However, most ophthalmologists have been able to certify by their own experiences that occlusion of the dominant eye is helpful in many cases of amblyopia, particularly in preschool children. They have also been able to verify without the benefit of double-blind studies or more sophisticated methods that true eccentric fixation will not respond to such treatment in many older children. These children simply refuse to submit to such harassment and ophthalmologists are traditionally too humane to seek enforcement of an order—the validity of which they have found reason to question. The torment is somewhat compounded by

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