title: A family of squints: the differing effects of hypermetropia on four siblings.
abstract: Four siblings in a family of five were found to be affected with hypermetropia in differing degrees and with differing effects. These were unilateral hypermetropia, producing amblyopia; hypermetropia inducing an accommodative esotropia with minimal amblyopia and fully controlled with glasses; hypermetropia producing an accommodative esotropia with a high AC/A ratio, fully controlled with bifocals; and 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 pitfalls therein.
mesh_terms: D000065:Accommodation, Ocular; D002648:Child; D002675:Child, Preschool; D004948:Esotropia / Q000209:etiology / Q000628:therapy; D005139:Eyeglasses; D005260:Female; D006801:Humans; D006956:Hyperopia / Q000150:complications / Q000235:genetics*; D008297:Male; D008916:Miotics / Q000627:therapeutic use; D013285:Strabismus / Q000235:genetics* / Q000601:surgery
chemical_list: D008916:Miotics