Question
The child below was brought in by her observant mother for evaluation of crossed eyes, which the mother has noticed for the past month. Which one of the following statements is least likely?

A. |
The cover–uncover test will demonstrate a tropia; when the fixing eye is covered, the other eye will display an abduction movement. |
B. |
Both the cover–uncover test and the alternate cover test, even with excellent fixation on an accommodative target, will not demonstrate any deviation. |
C. |
This child is unlikely to demonstrate inferior oblique overaction (IOOA) or dissociated vertical deviation (DVD). These findings generally develop after initial presentation of esotropia. |
D. |
With time, this condition will spontaneously improve. |
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