Exotropia and defective accommodation.
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After reviewing literature concerning IE, the following conclusions can be pointed out. The IE is a mild form of strabismus, provided that all the disturbed parameters, especially the processes on inhibition, should be involved in the treatment (in this case, prism looks to be the best method because of its efficiency all day long and because it does not force the patient to exercises more or less tedious.
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In some patients, weakening procedures on the superior oblique muscles may cause a vertical and/or torsional deviation postoperatively. A case is presented to illustrate this point with suggestions to help identify these patients preoperatively to avoid this pitfall.
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