A 3-year-old child presents with a right convergent squint of 6-months duration. What is the appropriate management?(AIIMS May 2012)
|A||Immediate surgical correction followed by amblyopia therapy|
|B||Proper refractive correction, amblyopia therapy followed by surgical correction|
|C||Prescribe spectacles and defer surgery until the child is 5-year-old|
|D||Botulinum toxin injection followed by occlusion therapy|
Accommodative esotropia is defined as a convergent deviation of the eyes associated with activation of the' accommodative reflex. It usually occurs in children between 2 and 3 years of age. To treat the condition, a full hypirmetropic correction is initially prescribed. These glasses eliminate the child's need to accommodate and therefore eliminate the esotropia.