Streptococcus pneumoniae endophthalmitis following strabismus surgery.
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Penalization includes all those methods apart from total occlusion which disturb the central vision of one eye by favouring the other eye. Penalization has a sensory action on functional amblyopia; moreover it also has a motor action, influencing the non-accommodative element of spasm in esotropia. Optical penalization is the most classical method. However, one should also be aware of penalization with partial occlusion or fogging, penalization with mydriatics, and penalization with sectors, which are very often used in association with the classical technique.
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Judgement of distances was evaluated in 19 patients with comitant esotropia and without appreciable stereopsis. In nine patients anomalous retinal correspondence (ARC) was present at Bagolini's striated glasses. In the remaining patients there was suppression with the same test. Distance judgement of strabismics with ARC does not differ statistically from that one of normals. Significantly different results were found in strabismics with suppression. It is concluded that ARC is not only an anti-diplopic mechanism, but provides the patients with useful clues in their daily life.
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