Question

Esotropiais usually associated with:

• A. Myopia
• B. Hypermetropia
• C. Astigmatism
• D. Presbyopia

Answer 1

The Correct Option is B

Step 1: Remember the accommodation-convergence reflex: every time the eyes focus on a near or blurred target, they also turn inward. The amount of inward turning tracks the focusing effort.
Step 2: A hypermetropic (long-sighted) child has a chronically blurred image and must over-accommodate to see clearly, even for distance.
Step 3: That sustained over-accommodation pulls in an excess of convergence, manifesting as a manifest inward squint - accommodative esotropia, common at roughly 2% prevalence.
Step 4: Myopes need little accommodation and drift outward (exotropia); astigmatism and presbyopia do not produce this convergence overdrive. So hypermetropia is the partner of esotropia.
\[\boxed{\text{Hypermetropia}}\]