A FAMILY OF SQUINTS: THE DIFFERING EFFECTS OF HYPERMETROPIA ON FOUR SIBLINGS

Abstract

Four siblings in a famil of five were found to be affected with hypermetropia in differing degrees and with differing effects. dese were (i) unilateral hypermetropia, producing amblyopia; (ii) hypermetropia inducing an accommodative esotropia with minimal amblyopia and fully controlled with glasses; (iii) hypermetropia producing an accommodative esotropia with a high AC/A ratio, fully controlled with bifocals; and (iv) hypermetropia producing esotropia which was only partially corrected with glasses, therefore partially accommodative, with a residual squint which required surgery. This family of four nicely demonstrates all the permutations and combinations possible in accommodative‐type esotropia and the piifalls therein. Copyright © 1986, Wiley Blackwell. All rights reserved