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COMMENTS AND OPINIONS
Simultaneous Adduction and Convergence Retraction: The Verisimilitudes for Synergistic Convergence—Reply
Christina Pieh, MD;
Wolf A. Lagreze, MD
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In reply
We thank Pandey et al1 for their comment concerning our case report of a newly described congenital eye movement disorder.
We described a 5-year-old girl with a large convergent squint of greater than 50 PD on the right as well as the left gaze. In the primary position, she had orthophoria. Her right gaze differed from the left only by a change in the lid fissures. On her right gaze, the right lid fissure narrowed due to right globe retraction; on left gaze, narrowing of the left lid fissure and left globe retraction were observed. Globe retraction was only present in the eye with intended abduction. Side gaze was not associated with miosis nor accommodation. Saccades (from temporal to nasal) were fast and normometric. Pursuit eye movements (from temporal to nasal) were smooth and not delayed. Convergence and pupillary reaction were . . . [Full Text of this Article]
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