Squint: accommodative esotropia: 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 · Squint: accommodative esotropia

Sample item

In accommodative esotropia with a high AC/A ratio, the deviation is greater at near than distance. Which treatment is added to full correction?

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

The answer and the reasoning

D. Bifocal glasses or miotics

Convergence excess type accommodative esotropia is helped by bifocal adds to reduce the accommodative effort at near. Miotic drops reduce the need to accommodate.

Option by option

  • A. Cycloplegic drops permanently

    Permanent cycloplegia is not practical and blurs near vision.

  • B. Observation

    Untreated cases lose binocularity.

  • C. Orthoptic exercises alone

    Exercises alone do not control the deviation.

  • D. Bifocal glasses or miotics (correct)

    Correct. Bifocals reduce near accommodation.

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 D, Bifocal glasses or miotics. Convergence excess type accommodative esotropia is helped by bifocal adds to reduce the accommodative effort at near.

Why is "Cycloplegic drops permanently" not the answer?

Permanent cycloplegia is not practical and blurs near vision.

Why is "Observation" not the answer?

Untreated cases lose binocularity.

Why is "Orthoptic exercises alone" not the answer?

Exercises alone do not control the deviation.

What concept does this question test?

It tests Squint: accommodative esotropia in Ophthalmology. Miotic drops reduce the need to accommodate.

How hard is this question?

We tag it as a multi-step question: it asks you to combine more than one idea. 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 Squint: accommodative esotropia?

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.