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Abstract The aim of this study is to evaluate the augmented formula as a base for surgery in partially accommodative esotropia. SUMMARY AND CONCLUSION Our study was carried out in ophthalmology department in El-Minya University Hospital between September 2002 and August 2005 including 48 patients who had partially accommodative esotropia. The aim of this study is to evaluate this augmented surgery in management of partially accommodative esotropia. Through ophthalmological evaluation, optical correction of hypermetropia and treatment of amblyopia were done before surgery. Augmented surgery was done for these patients based on the target angle that is midway near angle with correction and near angle without correction as our patients had normal AC/A ratio and they followed up every month for 6 months. In our study 93.75% success rate was observed where patients became orthophoric within 10 Δ. Only 6.25% of the patients were undercorrected after surgery. About 4% of the patient became overcorrected for 3 days then they became orthophoric without reduction of hypermetropic correction. Augmented surgery is recommended for management of partially accommodative esotropia as it achieved good postoperative results with small percentage of undercorrection and even for surgeons who fear from overcorrection it proved that it is of low incidence and even reversible without reduction of the hypermetropic correction. |