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After intermittent exotropia surgery, consecutive esotropia: good or bad?
  1. Khawaja Khalid Shoaib
  1. Department of Eye, PNS Hafeez, Islamabad, Pakistan
  1. Correspondence to Dr Khawaja Khalid Shoaib, Department of Eye, PNS Hafeez, Islamabad, Pakistan; kkshoaib{at}

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Buck et al 1 have published an informative article regarding intermittent exotropia. They observed that surgical dose per prism dioptre ranged from 0.31 to 1.22 mm (for bilateral surgery) and rightly concluded that overcorrections cannot be avoided merely by getting the dosage right. A few points however deserve discussion. Their statement in the Results section (subheading: Stability in those initially over-corrected) ‘Of 25 patients who were initially over-corrected… 10 (40%) remained over-corrected’ means a better outcome in the majority. This does not support/justify their conclusion in the next sentence ‘Even a small initial overcorrection did not predict good outcome’. Rather, this is opposite to …

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  • Contributors KKS is the sole contributor to the manuscript. Design and conduct of the study (KKS); collection (KKS), management (KKS), analysis (KKS) and interpretation of the data (KKS); and preparation, review or approval of the manuscript (KKS).

  • Funding None.

  • Competing interests None.

  • Provenance and peer review Not commissioned; externally peer reviewed.