Question:
Esotropia is commonly associated with which refractive error?
Esotropia is commonly associated with which refractive error?
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The far-sighted eye over-accommodates, and accommodation drags convergence with it.
Updated On: Jun 23, 2026
- Myopia
- Hypermetropia
- Emmetropia
- Astigmatism
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The Correct Option is B
Solution and Explanation
Answer: Hypermetropia.
Step 1: Esotropia is an inward (convergent) deviation of the eye. The common refractive form is accommodative esotropia.
Step 2: Hypermetropic (farsighted) eyes must accommodate strongly to see clearly, especially for near objects.
Step 3: Accommodation is linked to convergence (the accommodation-convergence reflex). Excess accommodation in a hypermetrope drives excess convergence, turning the eyes inward and producing esotropia.
Why not the others: Myopia relaxes accommodation and is more linked with exotropia. Emmetropia has no refractive driver. Astigmatism blurs but does not characteristically cause convergent deviation.
Ref: AAPOS, Accommodative Esotropia.
Step 1: Esotropia is an inward (convergent) deviation of the eye. The common refractive form is accommodative esotropia.
Step 2: Hypermetropic (farsighted) eyes must accommodate strongly to see clearly, especially for near objects.
Step 3: Accommodation is linked to convergence (the accommodation-convergence reflex). Excess accommodation in a hypermetrope drives excess convergence, turning the eyes inward and producing esotropia.
Why not the others: Myopia relaxes accommodation and is more linked with exotropia. Emmetropia has no refractive driver. Astigmatism blurs but does not characteristically cause convergent deviation.
Ref: AAPOS, Accommodative Esotropia.
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