I am anirban,squient problem. report in the follwing c/o: near blur,eye strain during near task. H/O : squint since childhood. VA OD :sc 20/20 ,N6@40 cm sc OS : 20/20, n6@ 40 cm subjective : plano plano 20/20 CT @20 feet: large angle LXT AXT + L/R (OD dominant) @40 cm: large angle LXT AXT + L/R PBCT : @20 feet : ~45 pd EXO with ~ 6 pd L/R @40 feet : ~45 pd EXO with ~ 6 pd L/R AA: (push-up) OD : 18 D ,OS : 18.25 D Age expected average AA : 18.50 D MAF OD : 7cpm, equally difficult in BOTH OS : 7.5 cpm , equally difficult in BOTH MEM OD : +0.50 D OS : +0.50 D Saccade (SCCO) : good pursuit : good OM : Full in OD IOOA (+1) in OS Stereopsis (stereo- fly) : absent Synaptophore : Objective angle Distance : ~ -48 pd with ~ 10 pd left Hypertropia Near : ~ -50 pd with ~ 10 pd left Hypertropia Fusion & Stereopsis : absent Impression : 1. Alternate Exotropia ( OD dominant) with left Hypertropia. 2. Inferior oblique overaction in OS. 3. Accommodative Infacility -OU Pls. advice your medicine.