Refraction: hypermetropia: practice question

A Ophthalmology question in the style of the NEET PG paper. Answer it first, then read why the right option is right and why each of the others is wrong.

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Ophthalmology · Refraction: hypermetropia

Sample item

A 6-year-old has recurrent headache, esotropia on near work and 5 D hypermetropia. What is the first-line treatment?

Original practice item, not a recalled exam question. Nothing here is recorded.

The answer and the reasoning

C. Full cycloplegic refraction correction with convex spectacles

Accommodative esotropia results from the excessive accommodation used to overcome hypermetropia, linked to convergence. Full correction relaxes accommodation and usually straightens the eyes.

Option by option

  • A. Squint surgery

    Surgery is considered only for the residual deviation.

  • B. Occlusion therapy alone

    Occlusion treats amblyopia, not the refractive cause.

  • C. Full cycloplegic refraction correction with convex spectacles (correct)

    Correct. Glasses address the cause.

  • D. Reading restriction

    Restriction does not correct the optical error.

Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.

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Questions about this Ophthalmology question

What is the answer to this Ophthalmology question?

The best answer is C, Full cycloplegic refraction correction with convex spectacles. Accommodative esotropia results from the excessive accommodation used to overcome hypermetropia, linked to convergence.

Why is "Squint surgery" not the answer?

Surgery is considered only for the residual deviation.

Why is "Occlusion therapy alone" not the answer?

Occlusion treats amblyopia, not the refractive cause.

Why is "Reading restriction" not the answer?

Restriction does not correct the optical error.

What concept does this question test?

It tests Refraction: hypermetropia in Ophthalmology. Full correction relaxes accommodation and usually straightens the eyes.

How hard is this question?

We tag it as an application question: it asks you to use a fact on a patient or a finding. The tag is our own editorial judgement, not an official difficulty rating, so read the reason for every option, not only the answer.

How should I study Refraction: hypermetropia?

Group the red eye by what to examine and what the pupil does. Then use the flashcards and the other Ophthalmology questions on this site to test what stuck.

Is this a real NEET PG question?

No. It is an original practice item (editorial status: sample, version 1). NextPrep does not publish recalled or leaked questions, and independent faculty review of this item has not been completed yet, so confirm important facts in a standard textbook.