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Pathophysiology (Why it happens) * Congenital miswiring: * Absence or hypoplasia of 6th cranial nerve (abducens nerve) * Lateral rectus gets abnormal innervation from 3rd nerve (oculomotor) * This causes co-contraction of medial and lateral rectus, leading to: * Retraction of globe * Limited outward movement #DRS #esotropia #exotropia #optomworld #pediatricoptometry
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