esotropia on distance fixation 10-20PD (Fig. 11)
orthophoria at near (Fig.12)
normal ductions and versions
sometimes mild bilateral sixth nerve paresis
acute acquired esotropia
following recovered n.VI palsy
bilateral sixth nerve paresis
incomitant (paralitic) strabismus
very rare bilateral muscle resection
SPASM OF THE NEAR REFLEX
This condition appear periodically and is characterized by an overconvergence associated with accommodation and miosis.Fig13A and 13B.
Fig.13A The child aged 1,8-year-old with spasm of the near reflex.
Fig.13B Spasm of the near reflex on 7-month-old child.