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October 1974

Congenital Esotropia: Management and Prognosis

Author Affiliations

Albany, NY

Arch Ophthalmol. 1974;92(4):360. doi:10.1001/archopht.1974.01010010370024

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It usually seems to be the case in the history of a science that milestones in its development are only seen as such in retrospect. In reading this book it is difficult to avoid the feeling that one is seeing a milestone marked right in the present. Taylor's work is not the first report of successful early surgery for esotropia, but it is the most thorough and complete report to date and makes the first strong case for the effectiveness of early over late surgery. The cases chosen were large enough in number, followed up over a long enough period (up to 16 years), and were tested in sufficient detail to make the conclusions difficult to argue with—let alone ignore. Taylor describes 31 patients in whom "adequate" surgery was performed (eyes aligned) prior to age 2. Of these, 30 achieved stereopsis of 400 seconds or better (and 26 of these,

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