Station 7
(5 minutes allowed)
The following are the orthoptic and refractive findings of three children 
with esotropia. What is the most likely diagnosis in each case?
 

a.   Patient 1 

  • VA                                      R 6/36               L 6/6
  • cover test                           right esotropia for D & N
  • prism cover test                 40 prism dioptre base out for D

  •                                             50 prism dioptres base out for N
     
  • ocular motility                     comitant deviation
  • cylcoplegic refraction        +6.00D in R           +4.50D in L
b.  Patient 2
  • VA                                        R 6/6                L6/6
  • cover test                             right esophoria for D 

  •                                               right esotropia for N
     
  • prism cover test                    5 dioptre base out for D

  •                                              30 dioptre base out for N
     
  • ocular motility                       comitant deviation
  • cycloplegic refraction         +1.00D in R          +1.25D in L 


c. Patient 3

  • VA                                         R6/6                   L6/6

  •  
  • cover test                             right esotropia for D

  •                                               right esophoria for N
     
  • prism cover test                  20 dioptre base out for D

  •                                               5 dioptre base out for N
     
  • ocular motility                       decreased right abduction
  • cylcoplegic refraction           +1.00D in both eyes
Answers
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