Bab 11

1. If the right eye is lower than the fixating left eye, it is called a
a. right hypotropia
b. left hypotropia
c. right hypertropia
d. left hypertropia
e. all of the above

Answer A (AAO 2014-2015 PEDIATRIC OPTHALMOLOGY AND STRABISMUS )Pg 117

2. if the right eye is higher than the left and the left eye is fixating, the deviation is termed a?
a. right hypertropia
b. right hypotropia
c. left hypotropia
d. left hypertropia
e. left hypertropia

Answer A (AAO 2014-2015 PEDIATRIC OPTHALMOLOGY AND STRABISMUS )Pg 117

3. Thus, a vertical phoria in which the right eye is higher than the left eye is termed a ?
a. right hyperphoria
b. right hypertropia
c. right hypotropia
d. left hypotropia
e. left hypertropia

Answer A (AAO 2014-2015 PEDIATRIC OPTHALMOLOGY AND STRABISMUS )Pg 117

4. The left eye rises under the cover, leading to a left hyperdeviation when the cover is
removed. This situation also seems to violate Hering's law and represents a bilateral DVD,
also termed a ?
a. double hyperphoria
b. right hypertropia
c. right hypotropia
d. left hypotropia
e. left hypertropia

Answer A (AAO 2014-2015 PEDIATRIC OPTHALMOLOGY AND STRABISMUS )Pg 117

5. If the patient has a true hypertropia, a few principles aid in confirming the diagnosis:
Deviations can be caused by?
a. innervational disorders
b. mechanical problems (bone, muscle, or
c. soft-tissue abnormalities within the orbit
d. muscle abnormalities
e. all of the above
Answer E (AAO 2014-2015 PEDIATRIC OPTHALMOLOGY AND STRABISMUS )Pg 118

6. In addition, malpositioning of the vertical rectus pulleys can lead to anomalous vertical
actions that can simulate oblique muscle overactions. This can be seen in ?
a. Brown syndrome
b. Duane retraction syndrome
c. craniofacial syndromes
d. Skew deviation
e. Large-angle exotropia

Answer C (AAO 2014-2015 PEDIATRIC OPTHALMOLOGY AND STRABISMUS )Pg 118

7. Other causes of overelevation in adduction (OEAd) and overdepression in adduction (ODAd)

include ?
a. restrictions of the superior or inferior rectus muscles
b. Brown syndrome
c. Duane retraction syndrome
d. Skew deviation
e. All of the above

Answer E (AAO 2014-2015 PEDIATRIC OPTHALMOLOGY AND STRABISMUS )Pg 119

8. Primary inferior oblique muscle overaction has been reported to two-thirds of patients with
infantile strabismus develop between ages?
a. 1 and 4 years
b. 1 and 5 years
c. 1 and 6 years
d. 1 and 7 years
e. 1 and 8 years

Answer C (AAO 2014-2015 PEDIATRIC OPTHALMOLOGY AND STRABISMUS )Pg 119

9. In all but the mildest cases, a procedure to weaken the inferior oblique muscle is indicated?
a. Recession
b. Disinsertion
c. Myectomy
d. marginal myotomy
e. all of the above

Answer E (AAO 2014-2015 PEDIATRIC OPTHALMOLOGY AND STRABISMUS )Pg 120

10. In a patient with a clinically significant hypertropia or hypotropia or an A pattern, a

procedure to weaken the superior oblique tendon is appropriate? except
a. Recession
b. Tenotomy
c. Tenectomy
d. Myectomy
e. lengthening by insertion of a silicone spacer
Answer D (AAO 2014-2015 PEDIATRIC OPTHALMOLOGY AND STRABISMUS )Pg 121