The following case is presented :
A white girl, aged 10, had had epiphora from the left eye since birth. This was so severe during winter months that it caused painful and disfiguring chafing of the left side of the face. Vision in this eye had always been poor, and the eye turned in.
The father of the girl also had esotropia, with amblyopia ex anopsia. None of the other relatives had congenital defects, and the family history otherwise did not contribute anything. The patient's own history was irrelevant with regard to the ocular disorders. She had developed mentally and physically better than the average child of her years.
Ocular examination revealed the right eye to have 20/20 vision. The lids, lacrimal apparatus, intraocular tension, conjunctiva, cornea, pupil, media and fundus were normal.
The left eye had only 20/70 vision with the best correction. There were 30 centrads of nonaccommodative comitant
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