Diagnostic logic tree

Question 1

Eso c normal notility, onset <6m

Answer 1

infantile esotropia

Question 2

Eso that dissipates c full cyclo - hyperopic refraction

Answer 2

Fully accommodative eso

Question 3

Eso greater at near, High AC/A

Answer 3

High Ac/A accommodative component, Bifocal candidate

Question 4

Small angle, borderline suppression on worths only at 6m

Answer 4

microtropia (proved C 4^ test)

Question 5

Exo at distance, suppression on worths only at 6m

Answer 5

Distance intermittent XOT

Question 6

exo at near, Reduced NPC, poor BO reserves

Answer 6

convergence insufficiency

Question 7

fusion present, ARC on synoptophore, small angles

Answer 7

Long standing stable deviation (typically microtropia)