
NTERMITTENT EXOTROPIA can be one I of the most frustrating types of strabismus to treat, or it can be one of the most satisfying. We must realize that no matter how ideal the surgery, approximately 40% to 45% of the cases will be immediately undercorrected or will recur in time and require further treatment. The remaining 5% to 10% will remain as permanent overcorrections unless properly Not only is it important that we understand these facts, but it also important that the parents be made aware of these possible undesirable responses to surgery. In our office, the parents are told of these possible problems following surgery, and that patching, special glasses, and even more than one operation may be necessary to effect a functional cure. Also, they are given an information sheet reviewing our office discussion. Once we realize that the initial surgery will correct approximately half of the patients and that proper management of undercorrections and overcorrections is the key to a high success rate,
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