This study compared the sensory status of 23 patients (19 children and 4 adults) before and after treatment with total hypermetropic correction. We have shown that binocular improvement can be obtained in every category of strabismological pathology, including exotropia, with the exception of early onset micro-strabismus. Three cases of late onset micro-strabismus (one divergent and two convergent) where total sensory cure was obtained are also described. We confirm the slow clinical progression of hypermetropia in the strabismic patient provided with total optical correction. The two examples reported, as well as our cursory review of recent literature, provide justification for the early, systematic prescription of total optical correction for strongly hypermetropic children (> 4 D).