The ratio of esotropia to exotropia in our study is comparable to previous studies done in predominantly European and Middle Eastern populations. Surgical esotropia decreased with age while surgical exotropia increased. Overall, our rates of sensory strabismus were much higher than previously reported, even if we compare only the younger patients.

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A 34-year-old man presented to the ophthalmology clinic because of an enlarging mass of the left bulbar conjunctiva, found to be Kaposi sarcoma by histologic examination. The patient had no prior diagnosis of human immunodeficiency virus infection, making this one of only two descriptions in the literature of conjunctival Kaposi sarcoma as the initial presentation of human immunodeficiency virus infection. With surgical resection and highly active antiretroviral therapy, the prognosis is good.

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