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*University of Pittsburgh School of Medicine, Pittsburgh, PA; †Pediatric Ophthalmology, Strabismus and Adult Motility, UPMC Eye Center, Children's Hospital of Pittsburgh, Pittsburgh, PA; ‡Drexel University College of Medicine, Philadelphia, PA; §Clinical and Academic Department of Ophthalmology, Great Ormond Street Hospital for Children, London, United Kingdom; and ¶UPMC Eye Center, Pittsburgh, PA.