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This condition can be esophoria, where the eyes tend to cross inward in the absence of fusion; exophoria, in which they diverge; hyperphoria, in which one eye points up or down relative to the other; or cyclophoria, in which one eye is rotated differently around its line of sight from that of the other.
Exotropia is a form of strabismus where the eyes are deviated outward. It is the opposite of esotropia and usually involves more severe axis deviation than exophoria.People with exotropia often experience crossed diplopia.
Esophoria is an eye condition involving inward deviation of the eye, usually due to extra-ocular muscle imbalance. It is a type of heterophoria. Cause
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Use of a detailed target for near fixation in both adults and children will identify the effects of accommodation on the deviation. Observing pupillary constriction should also be indicative of accommodation. Cover-Uncover testing and alternate cover testing should be performed on the deviating eye even when a constant heterotropia is observed.
Numbers and arrows should be seen clearly. Relaxation of accommodation can result in an increase in exophoria and a decrease in esophoria, leading to an inaccurate result; The examiner should check the function of the Maddox Wing Instrument before use; the septa can be easily bent, leading to the septa not covering the intended view.
In an alternating esotropia, the patient is able to alternate fixation between their right and left eye so that at one moment the right eye fixates and the left eye turns inward, and at the next the left eye fixates and the right turns inward. This alteration between the left and right eye is mostly spontaneous, but may be voluntary in some cases.
Exophoria is a form of heterophoria in which there is a tendency of the eyes to deviate outward. [1] During examination, when the eyes are dissociated, the visual axes will appear to diverge away from one another. [2] The axis deviation in exophoria is usually mild compared with that of exotropia.