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[Artificial divergence in treatment of anomalous correspondence (author's transl)]
Abstract:
Artificial divergence causes a change of correspondence in about 60% of cases of alternating comitant convergent strabismus. This means a merely formal normalisation, since only one third of the cases can be cured to a level of +/-1degree of arc related to the true position of the eyes. These cases do not show any scotoma under campimetry on the phase difference haploscop (Aulhorn). An other third achieved a status with a tolerance of +/- 2 degrees and microscotomata. The last third did not show a normalisation, mostly due to a preexisting angle smaller than 5 degrees of arc. The number of full cures was limited, since the onset of squint was early in the majority of cases. One half of the 271 cases were treated by surgical overcorrection and following reoperation. The other half by small initial surgery, prismatic overcorrection followed by prismatic compensation and small second operation.