Accommodative ET is a type of what?

• A. Infantile ET
• B. Accommodative ET
• C. Mechanical ET
• D. Congenital ET

Answer: (B)

Accommodative esotropia is a form of esotropia driven by the need to focus. When a child has hyperopic refractive error, they accommodate to see clearly, and this accommodation pulls the eyes inward through the accommodative convergence reflex. The result is an inward turning of one or both eyes that characterizes this condition. Because the alignment usually improves or normalizes with appropriate glasses that correct the refractive error, it’s distinguished from other types of esotropia that are not caused by accommodation—such as infantile or congenital forms or mechanical restrictions. So, the concept being tested is recognizing accommodative esotropia as a specific type of esotropia defined by its accommodation-related mechanism, which is why the term describing this condition is the best-fitting choice.