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August 1966

Isoflurophate Versus Glasses in Evaluating the Accommodative Element in Esotropia

Author Affiliations

From the Department of Motility, Wills Eye Hospital, Philadelphia.

Arch Ophthalmol. 1966;76(2):186-188. doi:10.1001/archopht.1966.03850010188006

Miotics were first used in the treatment of accommodative esotropia by Abraham1 in 1949. Numerous subsequent articles2-14 imply that they have an advantage over convex lenses for this purpose, because they are cheaper, quicker, and more efficient in many cases.

Since a quantitative comparison between miotics and glasses is lacking to date, we compared in this study (1) the relative value of glasses and a miotic, and (2) the addition of a miotic to the use of glasses alone.

Materials and Methods  Patients with an esodeviation of 20 prism diopters or less, with full cycloplegic correction, were selected. Their deviation was measured at distance and near and with a +3.00 add, first with their glasses and then without their glasses. The patients were then told to stop wearing glasses and start on a regimen of isoflurophate (Floropryl) eye ointment.025% in each eye at nighttime, and to return in

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