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Dr. Rubin's letter was referred to Dr. von Noorden who offers the following reply.
To the Editor:
The purpose of my paper was not, as implied by Dr. Rubin, to reiterate the well-known beneficial effect of occlusion of the dominant eye in strabismic amblyopia, but, as stated unmistakably in the introduction, to investigate the claim made by authorities that such therapy is ineffectual or harmful when eccentric fixation is present. Our results revealed that occlusion of the sound eye is a powerful and simple method to treat amblyopia in younger children, regardless of their fixation behavior, and no harmful effects were observed.Dr. Rubin is apparently dissatisfied with the manner in which I presented our material. Perhaps I should have added the information that of the 22 children with peripheral eccentric fixation (Table 3) treated with occlusion of the sound eye visual acuity was 20/200 or less in every instance
von Noorden GK. OCCLUSION THERAPY IN AMBLYOPIA-Reply. Arch Ophthalmol. 1965;74(4):555. doi:10.1001/archopht.1965.00970040556026
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