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Department of Pediatric Ophthalmology, Department of Ophthalmology, Emory University, Atlanta, Georgia, USA. slambert@emory.edu
Accommodative esotropia is the most common type of strabismus with a very favorable prognosis if the appropriate treatment is initiated promptly. Spectacles remain the preferred treatment, but both contact lenses and refractive surgery may be helpful in some situations to correct the associated hyperopia. Strabismus surgery should only be used if optical correction or refractive surgery are ineffective in restoring normal ocular alignment.
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