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Is Prism Adaptation Helpful for Children With Acquired Esotropia?-Reply

Is Prism Adaptation Helpful for Children With Acquired Esotropia?-Reply This article is only available in the PDF format. Download the PDF to view the article, as well as its associated figures and tables. Abstract In Reply. —Dr Mims and Mr Wood present their view that the Prism Adaptation Trial (PAT) "was flawed because the... [PAT surgical table] called for amounts of surgery... that were simply too small" for the control group, and suggested that surgical amounts should be determined by the use of a dose-response curve described in their 1986 article. In response, we note the following: There were more overcorrections in the PAT control groups, which received smaller amounts of surgery on average, than in the prism-adapted surgical group. We concluded that prism adaptation appears to identify a subgroup of patients in whom it is safe to perform larger amounts of surgery without increasing the rate of overcorrection. If larger amounts of surgery had been performed routinely in the control groups, it is likely that the number of overcorrections would have increased. It is not clear, as claimed by Mims and Wood in http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Ophthalmology American Medical Association

Is Prism Adaptation Helpful for Children With Acquired Esotropia?-Reply

Archives of Ophthalmology , Volume 109 (4) – Apr 1, 1991

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Publisher
American Medical Association
Copyright
Copyright © 1991 American Medical Association. All Rights Reserved.
ISSN
0003-9950
eISSN
1538-3687
DOI
10.1001/archopht.1991.01080040026011
Publisher site
See Article on Publisher Site

Abstract

This article is only available in the PDF format. Download the PDF to view the article, as well as its associated figures and tables. Abstract In Reply. —Dr Mims and Mr Wood present their view that the Prism Adaptation Trial (PAT) "was flawed because the... [PAT surgical table] called for amounts of surgery... that were simply too small" for the control group, and suggested that surgical amounts should be determined by the use of a dose-response curve described in their 1986 article. In response, we note the following: There were more overcorrections in the PAT control groups, which received smaller amounts of surgery on average, than in the prism-adapted surgical group. We concluded that prism adaptation appears to identify a subgroup of patients in whom it is safe to perform larger amounts of surgery without increasing the rate of overcorrection. If larger amounts of surgery had been performed routinely in the control groups, it is likely that the number of overcorrections would have increased. It is not clear, as claimed by Mims and Wood in

Journal

Archives of OphthalmologyAmerican Medical Association

Published: Apr 1, 1991

There are no references for this article.