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June 1991

Prism Adaptation Test (PAT) in the Surgical Management of Acquired Esotropia

Author Affiliations

New York, NY

Arch Ophthalmol. 1991;109(6):765-766. doi:10.1001/archopht.1991.01080060019003

To the Editor.  —I read with great interest the article published by the Prism Adaptation Study Research Group1 in the September 1990 issue of the Archives. Patients with fusion and normal retinal correspondence (NRC) were eliminated from the study because "they had little or no potential to benefit from prism adaptation." It has been my experience as well as that of other authors2-4 that esotropic patients with NRC fusion, even bifoveal fusion (40 seconds of arc stereoacuity), can manifest a substantial angle buildup with prisms. Most, if not all, of these patients do benefit when undergoing surgery for the built-up angle.4 If this group of patients had been included, a larger percentage of esotropic patients would have been found to benefit from presurgical prism adaptation test (PAT).If patients with fusion and NRC were eliminated from the study at the start, and the responders were patients who

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