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Does Nonsurgical Treatment of Exodeviations Work?

From the Department of Ophthalmology, Mayo Clinic, Rochester, Minnesota

Correspondence: Requests for reprints should be addressed to: Virginia Karlsson, C.O., C.O.M.T., Department of Ophthalmology W7, Mayo Clinic, 200 First St. SW, Rochester, MN 55905.

There are proven successful nonsurgical treatments for exodeviations, and, very specifically, convergence insufficiency. Clinicians have sought nonsurgical treatments for a variety of reasons both their own and their patient’s personal preference. The basic principals of treatment are to correct vision and to remove any obstacles to fusion. The main categories of nonsurgical treatment are: occlusion, glasses (base-in/over-minus), and exercises (fusional convergence, antisuppression, and increasing the near point of convergence). The recently published randomized clinical trial studying which exercise modality is best for treating convergence insufficiency is reviewed.

Key words: exotropia, nonsurgical treatment, convergence insufficiency