A 26-year-old presents with a slight right head tilt, small “V” pattern, overaction of the right inferior oblique, underaction of the right superior oblique, and a small angle esotropia. She has 20/20 (6/6) vision in each eye. There is a history of two prior eye muscle surgeries done before age 10 but no details are available. You are only hearing about this patient from a colleague who has just obtained fundus photos. The patient has already left the clinic and your colleague is asking for your opinion.