Management of anomalous correspondence: efficacy of therapy

The last paper to review thoroughly the success of treatment for esotropia with anomalous correspondence was published by Flom in 1963. In reviewing the literature of that era, which included surgical intervention, Flom found documented cures in only 11 of 262 esotropic patients with anomalous correspondence--a cure rate of less than 5%. We evaluated recent reported success rates for treatment and present an estimate of the prognosis for successful binocular re-education of patients with esotropia and anomalous correspondence. Based on current therapy techniques reported in the literature, with careful aggressive therapy, 50% of esotropic patients with anomalous correspondence should be expected to achieve binocular vision provided sufficient time (up to 12 months) can be devoted to binocular re-education.