• squint surgery

It has recently been reported that there has been a trend in the United Kingdom towards fewer children requiring strabismus surgery.¹ Unless there has been a change in the incidence of childhood strabismus, it may reflect a change in the clinical practices of ophthalmologists, optometrists, and orthoptists. One such practice is the correction of associated refractive errors. The correction of a hypermetropic refractive error is an important aspect in the management of esotropia.^1–4 Although the full hypermetropic correction is usually prescribed for children with an esotropia, it is unclear whether this is, or has been, uniform in practice. Indeed, certain texts suggest a reduction in the hypermetropic correction following a cycloplegic refraction, to take into account so …