A 2-year-old develops intermittent esotropia that becomes constant; cycloplegic refraction shows +4.50 D in both eyes, and the deviation is equal at distance and near. What is the most appropriate initial treatment?
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A
Bilateral medial rectus recession
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B
Full cycloplegic hyperopic spectacle correction
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C
Bifocal spectacles with +3.00 D add
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D
Botulinum toxin injection to both medial recti