How does hypermetropia cause squint?
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Children have very strong powers of accommodation, and accommodation can cancel hypermetropia and allow clear vision. If a hypermetropic child tries to see a distant object clearly, he or she will accommodate strongly and this will cause the eyes to converge. But convergence will, in turn, cause double vision. This is unpleasant and distracting and the brain will suppress the image from one eye so that diplopia is avoided. The effect of such suppression in childhood can be serious and will lead to defective vision in the squinting eye. If this is not treated early, the loss of vision may be permanent.