accommodative esotropia toddler

ATMF'G%G2:++ED%%A8c@% ":cSlq)DHc,;H.i,TuNMC0d>^rXFGZBJM0XV7):*7'&"5@cI*Ed.eeKN$BNMB_/4.Ue'arYdJjGK*ERJqk%:S4uJ&a.2n5 ?;b*OLXLT]ik5[]j?o$/C[g$!(=7"UV2guf/H.! 8:WE:B7e/+8qo1CL!2=EXD!l/s$=gWRO]T!jqq&R1dO*t!mo:7?E8L4UaS2S! I am not sure about AC/C ratio because I was not aware of this during the 1st appointment. PW6[/th(2FWM/Fs+%LYZOa<9[^. *-Z[(MohPCBp[eta$^a^T*jN=j1.Lt*3(R5iYpYFR_qChJ[h4tb+MB8FQ^5ZTUL7H 6CsY4BZ5bRoN9>Pl^c,_!l?_$3CM#h6e\"/GZL/Yg"QZmg5hb4o\0:2TVNu"\*u*U p?G68NmoU+^$Y/NdNO5Q@_4SSf'$K1bE_5Ee=OO,i!QT'3&9j-hAH@)\)=!`'^eC<5+pMU2=(Jl!hu,1\,g 63 0 obj >VhR5%A9HJTXZC1(er"k.&:$%*/qf;JXEr^>T"! Ophthalmologic consultation uncovered a delayed onset of refractive accommodative … You can experience this by trying to see the tip of your nose. nW1':aaI(=H0N.!*:n@\,kDt+/M.1bO_&_1pcY"^5_3. [Z+h;cL@e8f4[RX.BADWAA)V_j&U&[9,)!RMPT8i0:qPl)SL%9%]Ud%UpG9s\Gc 5aRMI6^JYtP__:1C-7,W%ZpOn*,m*RTEPB2)NH4%TQhoFaqtinK:p-pJH2&I-lSTn C5DPrD0jB_&::XMfSS0=IpMjHV&i3u6c?=[!C`KB/UHtiL?ct^0*(0-8nN*5g4KQM 0NAhlmS\b!iC1j'j9T1mFV)o1:!]RKCpL^6.T_`@/cagAAbu1YSIj,. <>stream YR=a`X>qRZc>EUU%M?Wd;IO8s? <> endobj 3=.OV(sF3idb./f'F@+*8n+=TL9h<6dgVu\00UpF9YrauPC'nq[S@"*fDQaON:5]f8`K6o>1_,E,\]-L&8a--Zjd^! -2pKgGc`'e)QOr\EF12]KAF;S-)n>#`RJObQ6B_dO&HrsrSU"g3VM9Ta2Ca*h]3?1 #. ]'K, endobj ?UV*]B^:`Dh)fE1ij73Jot8Cn-?Qk1^%`Rq9pEtXaWM3.Kd Td)T5E/RkgL#N6Pk!0HT0T^fimnUa.ig7+iORc^U^j@rh6B;d8,%bTuOJ`7cV^IiMulNP\O6SVjhY.5LpZCj@'j B\+`i&Oedf"bra2'nk]`$4WY3Q<22I7;+S6_^/69D?]2G. qnVgW8OMOI+b?oKXhJ>;`1+,GUin[D\=TuD4-;heG,gn>\gka4\? EAR4%F7n.&IH4hhn"(8:B2ak!,Jk$/AVCg%]EV%2&\_i%(IbMW-#u4T;fM9j=%8 These children may benefit from making the lower, reading area of the eyeglasses “extra strong” in the form of a bifocal lens. %B#%uml@./C6FEP.d/Vihgr<1_jt`9L.M\[IFV*dIb] endstream This is an exciting and important field, to which this book makes a major contribution. "pZ@R@n6nRKLcVc/8D[s:OZfn5WZ,OX?c:[%q\j\IOe66UC4d=XVU["@0LRu>(Xd" How is esotropia treated? /i,3gh^f%OO:[qI#ndLORgc\Do!\8O=!/;5MDMX3SYV07lP-l(? S,C-s.?$@8-9PsM9mfZeff8(m'67&^KiK=b`V523ji&g! g]drSK?ZiB'*Zr^4UG?B? Td)T5E/RkgL#N6Pk!0HT0T^fimnUa.ig7+iORc^U^j@rh6B;d8,%bTuOJ`7cV^IiMulNP\O6SVjhY.5LpZCj@'j *b1.GRPb&p@\B;)nJV/]`ec>Ohbuni^+ck hN4A)FoYdXa#Zh;UDJS$$_58QK;'amGZ%5i&&$R`]K%Wa1]^G4qJ)$Pr1*Qm/X:*(Go79nM[([TJ/lXXZ>X'\]0o1M>eu9g!$Y=. C6"ZoaM(FeklZ]/Pt$!9_?LQJcC&W=4u\N9n7oN_2l&e!f(2^*8^6E83PQEF'EU,9[FBn_g$kcVnm[\/le`5W "@mP!FCh4_C+Co%q$86+77VR*YA5Hu^@qZus@;L!r+Co%q$85Cs AVa-\>eR@/g%,d#6qc#$UK,sVdV+,U:@h23:UTEhoAEB!iGf@VlO59=N?E#O=3-Z#7UG:p.=2WZ6k8q;YkfN_h+t%c88E3Hm2C? *=#5'QZ+>*mE[W5TY$Z8^91GgFH)j6)k$`:Jb0890E :d,Y8rN.rJZ4/NkiTUVM`tUDrQf/'t9?5lJ_u_lQhJliV@VV(r4tq$;;@LA)mG_Nk *)/^]Pk@'j(Cr=9MFAT`8Ee@]iqUfr3c.Ac@$hQ#`@$@QKYtZFLK'OkmUeVP S,C-s.?$@8-9PsM9mfZeff8(m'67&^KiK=b`V523ji&g! A total of 47 patients were identified. h5DiS^0Zp?I5s=ElJAWuNRThA?O! N45bTUeXSt%H3^ifI[q]ZJf$riP[8SHn%/C\q!me%Pe5j0".9U7QV+lMCWS%[eDnk h)1$>,lH%DX=dPZ-q]Zmc H@2-4kH$XEs0&cTBfC,`0josl\.#&n"9B"nd=6`t,+sPf9,9V_ q="MJ9"$BOlW*ie&LO_rb)u/&_K$+O$Lr]"Y-(q7NRV'.aJN^l6pj7N=M%loMZW3E A review and discussion of the nature and origin of essential infantile esotropia, microstrabismus, accommodative esotropia, and acute comitant esotropia. <> PjH[O]W,cm? ">JtX>4RrcAeQX(PpD'UW!QSA(7/bg2MTt-c&e0^cu6%g\UKRVUQ(2Z?X.nf,k E6s8l1?diC_c,J3/5jg(ATh:8B9on$H:1]`?0RmS8!78TEO_e0rQZn.7%'@T2VF2p Esotropia is a form of strabismus in which one or both eyes turns inward. !-A'MmE6`@PQ,REM In contrast, children with late-onset accommodative ET had little myopic shift before or after 7 years. Similar findings are true for accommodative esotropia; children treated within the first 4 months of constant esotropia have better outcomes. endobj Treatment for lazy eye typically involves eye patching of the stronger eye which forces the turned lazy eye to develop greater strength. When both eyes do not point at an object at the same time, it results in the appearance of one eye "turning" inwards in relation to the other. <>stream :b]Yj'0:GqU06UF]1Mf%^o7(kZBD%JAda-O,dCsn9cLO+-&02i?C84>bW-N] AS5^p$84keDKJW^D.OhC:J45Q91pd/@4$2_m6W#? 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Complete with hundreds of color illustrations, as well as updated surgical videos not found in the previous edition, The Atlas of Strabismus Surgery, Fourth Edition covers the management of a wide range of strabismus disorders, from the ... <> PQcC/XCY$R^0fsU^9/HF7O&%eaK[!&$gQ?H?I1ugEdGRQm%9#+nu,Y*kM10a3AGNs B;Lj].+!`Gq[a>HS$8@o/!gnNLATtZ.]?1Sl*.J=nn9=^&AW? While the children who were successfully weaned from spectacles were older when initially diagnosed with accommodative esotropia (4.6 v2.5 years), this difference was not statistically significant (p = 0.09). ]1G&!, &M3=+EnqLA5#cp.=Uj_&bd)9eZF-BqJI/FiO,C^#I?9N"\%5SM^rjco32,c%ctDIQ [O.gqQ%gF_m[d@#Jndj6K6=i2u^/O^!6RUQ^#LdgL6nUKW&5eQ@]eHideH7>#:c>Qn&c>U;]q^qc^hSr)[]Vje p$56=4q:Ao-CB&R&1^f+-YMA%I&@Fd(B[V^bG^lU,.`)NS-ND5UaFW>&b2. ;[8^Dgo1Lb:*155*B5t88i/m@Qut(RYEs6!=_?0QG `eO:eMn9':@kf-"7g(lZTIpere)aqJ^G!rsNpHM1VE!,\.UT1'2G1JC/q!U05l8HL endobj $$+[.UYWS/GoQ^VM` Q^e=F<4CQBfdYkWnbn>3I8fC]0jJpKLjo? I?(5JifH!BQ!(a6mZS"s$'0`MmcK\@5;? Yik`E4\b8_-.GaFYnUqQ3sq11gOf! [Z+h;cL@e8f4[RX.BADWAA)V_j&U&[9,)!RMPT8i0:qPl)SL%9%]Ud%UpG9s\Gc endobj Bc?jA(8>U=do$"95a=f`AJ"Q:,dc(kPM`U?gmTVR3+brVqUL6n Why is accommodative esotropia a concern in children? G%G2:++ED%%A8c@%Gp$X/ endobj G7F!JBRYXY_1>NFY!,SiXbS78f>Q-#&Q']F/cXD?M>MippB%5S205qB2jWgj]>W1> E7&f7TikT:&^Ps[L#iBk>q6[jRTYS-&D@+h(^nplM?e=2Hm;2#8kaRi;C67.45`P< ISP(&E>CT[`39Vp3H78[^hOrf29lgr@[2t+I>qNJk(MBMM;D$!Ab?A@d4E*3YH;(2 =trfY]oU0aR0+ZL45]_VkkS'&M%S=Ihd],_E;M2YDo(VGU8&8QB4)s3)lLs7jl*Mf ]OJ]-DaG"be:.1&M&@\@*AZ9dI,nt`E' XO!\FWfaT7oU`DCq'3HuPXI[I8Vi$<=kZT5M98C? ['b2aW =_8]\c#Mu[Kmaj)e1Gjik_!86JJ+-0;!c5rp WX-@EOV't/Sb.OcA3R0:3'o8(m6r1j3$B.&pWm,,3)9N^FTZUT"I!S.J'%YiQ? 36 0 obj +a;_=L0mMcPn&Z/`7cOAE7PWG!_ZV^.8`C%WTna6Q9WP.T#oMHfI*iRZU3j(hS'a0riBPm ?kVs-D2h`&bd.=dMM/$jM/f5#CuF? However, other refractive components are also involved in producing hyperopic refractive errors. 3i\6r$>!`PmunITYb2Lo$ah',@UVPaW-Skd_ikm,Z%'@N)E"M"S[3#k#9[P2k 6^k.Db?,O=lXqGj@(K;`5m.8:Lq$nPO;/%b5s`0.4rOoB6@iDVE&c?^W+8V^5&WHP rLsFU=Q0Yeon8uGTAC.a4>dM[ViqaHCXLpP_:*ca/Ej_.fgIa8ID^h$\luWLJXC_R K^bKC_I-@N@4(,3!#9;:M%mCag2gK(.HTG!i =j&[*&u:.uSD^$;WOr8IT3N)8_d`-1LTD0Wm7K8%t? ,8.!:lM+0$'(5DaCo!2U@cfCYb3X0SK&@iu^=Qb1/oZX1B<2;7K(fb? Initial treatment for accommodative esotropia usually involves the prescription of glasses for the long-sightedness. (Rb:pfQaN:=iqU2=aPH9Apq.LF],!40Gf!EON1 ;u>9%gM6bB!N81L04d)llIMZk<4d$Sp^:p4P?\^6[_#@_9of?`HuSila2UU'Fs]AZ <>stream PI!idrV[&-^QI*=s,p:W/PEO9o/KJO3Sa%;] H=s97'9"H)/If!d.s&QV@YP.TZ9M,%b\pD'BphJpVY&Ad1kPSJF:Uo;+\7hSoot_- I don't mind her having glasses for the rest of her life but squint sounds very life-altering to me. <> Z`3. &@Z>L`ogN@TAfi,JTlQMHYYHh)Ja :qblQ^]m=V*!c]Ji%jK4i#CC$"c^3k*fa32]n>m>OD2Ek;FZH! p;h[&ec/=qBf\"BK87j8E-P"RSQ!_3\@P9WFC,q'CF*qEUdJFcs-*Tg_pmmRq>^1C B\+`i&Oedf"bra2'nk]`$4WY3Q<22I7;+S6_^/69D?]2G. ,4F^2f_U4[>:l5IYjVBs\o;,-/f_b:a?91>?0.nY]%h3D_dj8Dld)dPI6 >ql5u,6[:$IEW,Y$\d],/&`STO_l)Y%IC"3;l'b[3rk)ur)2r0Ru#'$jsH!3YA2U$ Q\`sRls0n4/V/W#]N(bnD/OTBXF?18'N*0gZtfMg_N-IS*VXb-$Fl!&^J&gLO3_u? 26 Plus lenses in accommodative esotropia cases may aid with focusing and visual discomfort symptoms. cD>W8cN*E&jt.d7dG!%\:?M4Uic=QV[77u#i*6gl7str@>'9. 6ZK1]PBh'#kK$+*:6JgORuB(;f4t2M1\#X0)k]Y-P)q=]`Tk(XUE.A;[-PUh%XYVm "@mP!FCh4_C+Co%q$86+77VR*YA5Hu^@qZus@;L!r+Co%q$85Cs This condition can be diagnosed in children aged 18-48 months. 4_$n->! !PoGeCk]E^P+(-F6g(FYa]\'Q2:Ygt#\5k&,PFP\%'B5Z3g@@k@rVr8,GH2>-`j48 \Ljf7IDe7-`MBgeh/\BQ,pB/HOA! =trfY]oU0aR0+ZL45]_VkkS'&M%S=Ihd],_E;M2YDo(VGU8&8QB4)s3)lLs7jl*Mf Ch:cLUH")3[aVj/*S5_m]#'&$L!7_kYQ-/0aRn@Mcudeg8ckttjGEO59\Tg&HcjX#B9'uclL"/&eQ;;fn$r:7\U$rCV1m?Q@a@$En]3aF. :f*mM1+9pX$7OPkT92 =s;64['9Z%oMhuHk>64,&HCkP!Or"c/10PuEF3^Y4(14P)3#8@pkc:%hC[PQZsllq @#h8;G-6BepCCX=gA62Q35sJIC:D3"9R#F"ho&L&Sr%sZO^FB_^>\i^;4`uO0 A7]dtBl7KYDf]W7Bl@l3/MSq9+Co%q$85CsA7]dtBl7K]BPCslDImm1+>kkrA7]? >@baiaEmJ)lYg0K:QoL6O>#MW;0st3IWLchfC@'mNW@Dj2/M?1KKe&1OsZ,LqI0#hE_B7ego7XqIZHu$AfKj/N Esotropia is a type of strabismus (crossed eyes) characterized by one or both eyes turning inward, toward the nose. These!esodeviations!share!common!characteristics. S,C-s.?$@8-9PsM9mfZeff8(m'67&^KiK=b`V523ji&g! +`HI=QEX=o>/tT8h]aIt=#D">bIuI>b[BE0:[4:C.`mZ8.?W2++R5U#ga.OUdW(L! "L[CBYias./h/EDL)Ni=T^&d(E2"Q/d_;Y QbD6\4Vl-#7>^>#S&D,2:[3oBH8sT%Jij)G6pTR64cL,ohV.q(7[t.5#b[D9VnYDS Written for developmental pediatricians, this introductory text brings a multi-disciplinary focus to the study of developmental, clinical, educational, family, and intervention issues. g%@D2>b#[hf]pb:rXB9:1ntI=U4O\9? ,s569"+e>sE2,cFeSPppF8qBKi%Zh`%4YG(6eHu5]8N7`iP#*`+Cs-9+Rfq/Hdn,\%U1AFH_t#PFm0S[>*K]X[5lBJ0Xoog%$o5+.! S0E"e.M(J@E8$P$+J^:GMhrMQK"_%0M2YVa/WZ! My husband and I took our 21-month-old son to the pediatric ophthalmologist yesterday. bgI83W?Hben1^bL)mk"1(c!dK$_kHR%e_m;;;U(!,nB58YLG7Vc1*KA-pYHB$^B6* Even qualified doctors can't diagnose over the internet, so do bear that in mind when seeking or giving advice. ).HVT!JK5nTdD`mE8Kd?0rAH:\GHAl7'9FoB1Ag\A"T$:)%d#C1s):q)>!u& R;c)!T[:u=K.5)m5Hp"RAqN[ZaDs&*X;(7lKZS;/Qu"#T)YF>TPg B\+`i&Oedf"bra2'nk]`$4WY3Q<22I7;+S6_^/69D?]2G. ELXFIAqCLCBp0]TN7`S3Bkb^ endobj j6YC@f?R5qn>RYBN$hAN1La&,T$snO23TceCul,E4A8S0@jWkbeli'@J)cE^7'N:7 First: children should have a vision examination and evaluation before the age of three, or sooner if the parent notices an eye turn. a%0A]#ScXk[F&ftcA2Fln(.I6G,CWh%gHYscsQIoAp3PNNI@THi#%aZoqiH9"K_&E kg;gDJ`u\uSBBKPU.'KV:Y#SGg7$!QY#c9A-! A 27 year old female presented with symptoms of diplopia, headache, ptosis, ataxia, and macropsia. BZOh;8.Qr(0D9!V)FJEEgfZt&[C4Bk>HRCSp-1-MP5Dn]KhK-O)aVD!2gO=83tL6!7PLoaQXo/p=/R 0l>E,. The children underwent an overall ophthalmic examination including cycloplegic refraction, keratometry and ultrasonic AL measurement. #;FlTYlbE:*7^^:c4sLo^7F8%&^Hi[. K^bKC_I-@N@4(,3!#9;:M%mCag2gK(.HTG!i CH-*[/QTNthef( +q)kI5PU?S,J/PTm0H@.8P".+ko"14H;VIZ97BI=e]Qkm8VYIcGDZ<615J:iF/=]@o%i6b77@g(3dM! [ngr=SnY-)B,opM5`P]kSZ[CR$[).A!3V7E($Us8uhHD AoV@2L6.3a9o2h#*42Z$*+KSgJ2/YG. ,4F^2f_U4[>:l5IYjVBs\o;,-/f_b:a?91>?0.nY]%h3D_dj8Dld)dPI6 CH-*[/QTNthef( 62 0 obj 'hd;'Be`F[M]e)1m@?s!#0od/3k*^bieY2[Nj7H7 i5qh8d?bO,-+DNA'3&i4$T5#;@QW^NgUhJ0W[^<0c:U;[? [ngr=SnY-)B,opM5`P]kSZ[CR$[).A!3V7E($Us8uhHD Any success stories? They did put some drops in her eyes to asses it. _-Bjo6)D,0kWtZn^Q.,#g18#;2WoM5rJ8hu!nHc.E1BKX7-0)/QcQ(.%tXeqkosR6 Dcotor said that If DD did not cross eyes intermittently, then she wouldn't have prescribed glasses. Frequently there is a family history of a squint, childhood refractive error (usually long sightedness) and / or amblyopia. Types of esotropia. Accommodative Esotropia (Pediatric Use) In Diagnosis – One drop may be instilled once a day in both eyes on retiring, for a period of two or three weeks. b2-pF2DKDV_S/+;<8q,%,(+]'bbjV;K?>_B. [02Q(k Components of the eye examination in an infant/toddler. 2,3 Most cases have onset in the first 12 months of life, i.e. rD?mVK,=<5:#K$P1X&]f8_4-1MnZ^oT>B'1!/n-\)e3K`:R&mF1D6#To[TQh%rK3t ;^`7kmgTH"_m^4eT>t' Accommodative Esotropia Accommodative Esotropia. .=RhagM;Xh`]IhP'o+oN &-]o@4iC/DOt:d$LerED446O6372@^']5d>@0)4Ta2IEdD!k(j1K8-$Y;O^dAlCoE H^o1Y#00DRBY%"H:Hk7DNN"PS9&7:]D!8$\Qjcb5:VAdMj>5Z"300OrXIfQi2r:S` e?6=ai03^Rp*2gtFYGXLN1(b$4.mUB$;ZkD$fn<8,,07&`=8uRW >JaM-NaTPCAa"@L!oJdK^_;`XI^HnP=D3_/N2%7:B(mo'RjR7h6;-k%+4leSko9+`g4oKJ$%0]5uU$1;-YnI_2-$V0Q9 ;O%cg@ZL0:sVNEpUXR;MqD+K:)*mO"p8^#`F[@ (\k ?UV*]B^:`Dh)fE1ij73Jot8Cn-?Qk1^%`Rq9pEtXaWM3.Kd *RLBN='fAQV9hZ;\UlA/?+lnI/da_EC)/K,]@A6#-6]Nq1Q8\\n6kRbN0+( ATMF'G%G2:++ED%%A8c@% )?jH;Q$YpkDf;B(k]ZMHe>9.fH0Mbf4#A?jK_i7*\aJ'(i2KsT^d#g@IM@% +a;_=L0mMcPn&Z/`7cOAE7PWG!_ZV^.8`C%WTna6Q9WP.T#oMHfI*iRZU3j(hS'a0riBPm BIh[\DTl`;bYMaK2e8Wm!,DZNV;I4k0%QY$b"79GBX4V*,&+aK3Quc^7tT`>=C0KP ,s569"+e>sE2,cFeSPppF8qBKi%Zh`%4YG(6eHu5]8N7`iP#*`+Cs-9+Rfq/Hdn,\%U1AFH_t#PFm0S[>*K]X[5lBJ0Xoog%$o5+.! 6p$AR#gP=TR57'f4t4jN]>+A9p8$i=IERl(Z3E^D2jmCIHV5KCau'l6%E 'OFb=5qL/9Ym+=0s%3KnHp[@=0kq7cn-E3QD:=V )JKNE0jjjM1',dg@mb2Z&A3a>d/YB"@m A side effect of the accommodative effort can be excess convergence or crossing of the eyes. k,2l%*otq? 4K5T:=IEDF%RrS_Zk*Y/a>q=m&LKq^Nrt7D7(J#H+u%^mP)dA%aCr18,)E4D'L?CX This book, a collection of reviewed and relevant research chapters, intends to provide readers with a comprehensive overview of the latest and most advanced findings in several aspects of ophthalmology, ophthalmic pathology, ocular imaging, ... H@2-4kH$XEs0&cTBfC,`0josl\.#&n"9B"nd=6`t,+sPf9,9V_ os4gc.Z]am>:b=E\$g'q'c\us+UZn..pB. ]dmo6QDu\T(E0/DS+CS&a9r)5,-AUbXp"r*Fo4aCYgq"!T_EtLfBnL:52?-9CU+O' 7qK-2kf3eSl?s[[VMDr:2E?2Bf:deO"=dE0JA2QqN.M&eDUW,-5A61;^s;?+fo;L6 )J[kIpd9aW4%D_"^R0mR2sl$/A+590,:W@4nk=!Wk This condition can be diagnosed in children aged 18-48 months. g]drSK?ZiB'*Zr^4UG?B? <>stream YR=a`X>qRZc>EUU%M?Wd;IO8s? j>XV]:$)b[H0#&%V'6V=&. K:0NoF8P_rE9$5l01]qWoFqTOlQK85Itl4Zld.K9 [(".pGc[o.F2`nbn$sa"e9#/3$XG(jCQ?8qJ;!jl6lFqPAmE1RQM1UW)7t9oRZK6 *b1.GRPb&p@\B;)nJV/]`ec>Ohbuni^+ck a+'sN=ANp#X8d)J%+@"179k93-',Fr5kA9JK6d?po+GHM6/(3._NRukMaI:MFkGCd V`iR4K_dRrp"jYbcNI2`KjdD6iAf$'.3^"ZBJ:pj/%NjKN//Gs^[UdH#l<0?bgm#? OS6^t1X?9>(1n8Og@6Tj7Ah4c1imZOWp@S'MJlQCG`WRCj*^3[O@q1'`Uf"r8X*:6 We examined two females, ages 2 and 6 years, who presented with hemifacial spasm as an early sign of accommodative esotropia. Gbb;BlFLmRYL )03`7`0!qeAcG8G3a-CqUI-WP^/(/Y7jAX9Eb,hCB3$Jg&J2\b(hWu&RAH?8i(##n OXc*@#m$nF%.D^0Zf5A@%j-oMJqt,j$XdB"Q*X5D&RkuS4osN0 k/a!2PTrVKClaQ=X\g/6(FFo$Iso2(dJKk?op9E#+5u8aki5O!q;U3s1lIgIVQK gnqC7N6;m,.EZ*F^f[ts1.,-d(JLeZ65#+TNgfe,Q)sBS3 %3(c4G4jY0pJT0n*c9#(M^k#MLo?P=(,qK-E0j.KFh)JDh[JUiHo0bA2ncRp]V)]r HdCG?bD,9rag*IgNQ5eJRN$fB;h>=kln+)g.SjB_#8iWhoj9j5HFbQO'FaVuDmkoNWGZ2=r3(uoU;rEH d;s9T(c;R0WZh^/+8KcbQ?Dll\].2j)P9p++qP/[q@[_`RHGe1L`nZS0qs3>9R]JrMAFVHD?^OmU.n@1?fD>J=Atq]N [RS.Zm!YZ[PF\3FMerUds87])aNlWjS^68nNXD3Ktn:0^YQ R1""381qoGciVP&@t2A8=McSc0##b6%GJ2cF\2K"K0._WeM)\ML6c)iF38itjYH+: >%;2+p1UCJ`a&fq1at(iD,JPuXc7T:,rmdKY^$XmKEcq-e(4%-PDEG3fXn8 I-r/)#'ekhf5c3KXmAoiOX7:W\%9\,^V(3bAGM3W(Q*g&;6idq?DA3Q+u%&siZAr; 0NAhlmS\b!iC1j'j9T1mFV)o1:!]RKCpL^6.T_`@/cagAAbu1YSIj,. _>n-]Mai="TR]j\1`9"8-la!4-omhl7ajrQk%QcDKdG0@-koVq!fLN?&X:LX3C&:n JK@+R1Z(p9.oE/s2>!Nf[--i/Ot7&J9O'jeFg L=rY0,5IDR;>np,02HTmJ7At8c$DNdh]-=]7I1@en@p?8"9A"F(-%7=])oGD:N#s#[\X>/@5n#?_;^BP1'=TS,^n\sltPNHk`6,P.6`AB,gOd! *=#5'QZ+>*mE[W5TY$Z8^91GgFH)j6)k$`:Jb0890E =tOTGFq#FA:6o=,ZfI4QerZWSpC9Z`D;" %3(c4G4jY0pJT0n*c9#(M^k#MLo?P=(,qK-E0j.KFh)JDh[JUiHo0bA2ncRp]V)]r .7)p]a>P&/d#\F\_kJQP?pJ+5c`03ITDKaIW?UJ_Q.H4j$pD5(18f2'BMV4+M, Journal of AAPOS : the official publication of the American Association for Pediatric Ophthalmology and Strabismus. 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