{ "model": { "rank": 4617, "code": "thing-q179951", "model_id": "vr.tr.strabismus", "name": "strabismus", "purpose": "Let an agent give general information on strabismus, stress early assessment for children, route sudden-onset cases in adults to urgent care, and help people find eye specialists.", "family": "Thing Registry", "category": "Cross-cutting context", "status": "research-draft", "kind": "thing", "plane": "XCT", "domain": "XCT.STA", "industry": "", "version": "", "url": "/models/thing/q179951/", "tier": 2, "score": 74, "payload": { "layer": "wikidata", "aliases": [ "internuclear ophthalmoplegia", "paralytic squint", "Wildervanck syndrome", "One and a half syndrome", "total internal ophthalmoplegia", "rare strabismus and restriction syndrome", "congenital strabismus", "Duane retraction syndrome", "animal esotropia", "Pattern Strabismus", "associated phoria", "incomitant strabismus", "cyclotropia", "hypertropia", "binocular vision disease", "intermittent squint", "mechanical strabismus", "hypotropia", "convergence excess", "exotropia", "esotropia", "heterophoria", "fixation disparity", "monofixation syndrome", "conjugate gaze palsy", "Duane retraction syndrome 3 with or without deafness", "Verloes-Deprez syndrome", "Dissociated vertical deviation", "skew deviation", "over elevation in adduction", "alternating exotropia", "monocular exotropia", "monocular esotropia", "alternating esotropia", "acute concomitant esotropia", "accommodative esotropia", "infantile esotropia", "sensory esotropia", "Exophoria", "Esophoria" ], "aliasCount": 43, "merged": 43, "knownIn": 74, "facets": null, "markers": [], "lexicalClass": "", "senseRank": null, "alsoRegisteredAs": null, "source": { "dataset": "wikidata", "item": "Q179951", "url": "https://www.wikidata.org/wiki/Q179951", "license": "CC0 1.0" } }, "research": { "vercy": "1.0-draft", "publication": { "status": "research-draft", "adjudicationStatus": "unreviewed", "publishableCanonical": false, "generatedAt": "2026-09-11T15:26:27Z", "providers": [ "Claude" ], "breadth": "written by Claude from model knowledge without web access - no source was read, every claim is a lead to verify", "pass": 2, "wave": 1, "engine": "claude" }, "metaModel": { "id": "THING-Q179951", "registryId": "vr.tr.strabismus", "name": "strabismus", "version": "0.2.0-wave.1", "entryKind": "thing", "family": "Thing Registry", "domain": [ "XCT.STA" ], "status": "research-draft" }, "canonicalUrl": "https://ver.cy/models/thing/q179951/", "model": { "registry_id": "vr.tr.strabismus", "name": "strabismus", "purpose": "Let an agent give general information on strabismus, stress early assessment for children, route sudden-onset cases in adults to urgent care, and help people find eye specialists.", "definition": "A condition in which the eyes do not align properly when looking at an object, so one eye turns inward, outward, upward or downward, from childhood squints to paralytic strabismus caused by nerve or muscle disorders and rarer syndromes; it can affect vision development in children and cause double vision in adults, and is treatable.", "what_it_is_for": "An eye alignment condition needing assessment.", "affordances": [ "explain types and causes in general terms", "stress early assessment in children", "recognise urgent sudden-onset cases", "find eye care specialists" ], "distinguishing_features": [ "Eye misalignment", "Childhood or acquired", "Affects binocular vision", "Treatable with glasses, patching, exercises or surgery" ], "appearance": "Visible misalignment of the eyes, constant or intermittent.", "visual_identification": [ "One eye turning in or out", "Head tilt or squinting", "Pseudostrabismus in infants can mimic it" ], "physical_properties": [], "families_and_kinds": [ "esotropia and exotropia", "hypertropia and hypotropia", "paralytic strabismus", "strabismus syndromes", "intermittent strabismus" ], "related_models": [ { "relation": "is a kind of", "target": "ocular motility disease", "why": "category" }, { "relation": "is related to", "target": "hyperopia", "why": "associated refractive error" }, { "relation": "is treated by", "target": "ophthalmology", "why": "specialty" }, { "relation": "is related to", "target": "glaucoma", "why": "other eye condition" } ], "identifiers": [], "standards_and_regulation": [ "Ophthalmology and orthoptics clinical guidelines", "Child vision screening programmes" ], "failure_modes_and_hazards": [ "Untreated amblyopia in children", "Missed neurological causes of sudden strabismus", "Agents diagnosing" ], "in_scope": [], "out_of_scope": [], "characteristics": [] }, "sources": [], "structure": { "bundles": [ { "id": "urgent", "name": "Urgent", "description": "Sudden onset.", "rationale": "Sudden cases need urgent care.", "layers": [ { "id": "sudden", "name": "Sudden", "description": "Adult sudden onset.", "findings": [ { "id": "sudden-finding", "name": "Sudden", "description": "Sudden onset.", "questions": [ { "text": "Has strabismus or double vision appeared suddenly in an adult, especially with headache or weakness?", "kind": "boundary" }, { "text": "Should urgent medical assessment be sought now?", "kind": "action" } ] } ] }, { "id": "children", "name": "Children", "description": "Early assessment.", "findings": [ { "id": "children-finding", "name": "Children", "description": "Children.", "questions": [ { "text": "Does a child show a persistent eye turn after early infancy?", "kind": "boundary" }, { "text": "How can an eye assessment be arranged?", "kind": "action" } ] } ] } ] }, { "id": "understand", "name": "Understand", "description": "The condition.", "rationale": "General information.", "layers": [ { "id": "types", "name": "Types", "description": "Types and causes.", "findings": [ { "id": "types-finding", "name": "Types", "description": "Types.", "questions": [ { "text": "What types of strabismus exist, and what causes them, in general terms?", "kind": "definition" }, { "text": "Is the user asking about their own or their child diagnosis?", "kind": "boundary" } ] } ] }, { "id": "vision", "name": "Vision", "description": "Effects on vision.", "findings": [ { "id": "vision-finding", "name": "Vision", "description": "Effects.", "questions": [ { "text": "How does strabismus affect depth perception and vision development?", "kind": "definition" }, { "text": "What is amblyopia?", "kind": "definition" } ] } ] } ] }, { "id": "treatment", "name": "Treatment", "description": "Options.", "rationale": "Treatment works.", "layers": [ { "id": "options", "name": "Options", "description": "Treatment types.", "findings": [ { "id": "options-finding", "name": "Options", "description": "Treatment types.", "questions": [ { "text": "Which treatments are used, such as glasses, patching, exercises or surgery, in general terms?", "kind": "provenance" }, { "text": "What outcomes are typical, according to guidelines?", "kind": "provenance" } ] } ] }, { "id": "specialists", "name": "Specialists", "description": "Who treats it.", "findings": [ { "id": "specialists-finding", "name": "Specialists", "description": "Specialists.", "questions": [ { "text": "How can an orthoptist or ophthalmologist be found here?", "kind": "provenance" }, { "text": "Is a referral needed?", "kind": "provenance" } ] } ] } ] }, { "id": "living", "name": "Living", "description": "Support.", "rationale": "Support helps.", "layers": [ { "id": "school", "name": "School", "description": "Children and school.", "findings": [ { "id": "school-finding", "name": "School", "description": "School.", "questions": [ { "text": "Which accommodations help a child with strabismus or amblyopia at school?", "kind": "provenance" }, { "text": "How is treatment adherence supported?", "kind": "action" } ] } ] }, { "id": "adults", "name": "Adults", "description": "Adult life.", "findings": [ { "id": "adults-finding", "name": "Adults", "description": "Adults.", "questions": [ { "text": "How can adults manage double vision and social concerns?", "kind": "provenance" }, { "text": "Which support organisations exist?", "kind": "provenance" } ] } ] } ] } ] }, "openQuestions": [ "Should each type be a separate entry?", "How should screening programmes be linked?", "How should specialists be localised?" ], "statistics": { "bundles": 4, "layers": 8, "findings": 8, "questions": 16 } }, "draft": { "generator": "vr.draft.v3", "status": "draft-generated", "researched": false, "archetype": "abstract concept", "method": "Written from the archetype playbook - what this kind of thing needs beyond identity and provenance - and from the structure that recurred across 6,333 models already researched by two engines. Applied to this entry by rule. No source was read for this thing and no claim here is researched. This entry carries no facets of its own, so they were inferred from its domain - a guess about a whole domain applied to one thing.", "facetsInferred": true, "nextPass": "A researcher replaces this draft with a sourced specification. Treat every sentence below as a proposal to argue with.", "purpose": "Give an agent a durable, checkable way to recognise a strabismus, record what state it is in, and decide what may be done with it.", "whatItIs": "Let an agent give general information on strabismus, stress early assessment for children, route sudden-onset cases in adults to urgent care, and help people find eye specialists.", "characteristics": { "substance": "abstract", "origin": "conceptual", "agency": "inert" }, "whatYouCanDoWithIt": [ "observed and measured" ], "distinguishingFeatures": [ "Names folded into this entry, which a task may need to split apart again: internuclear ophthalmoplegia, paralytic squint, Wildervanck syndrome, One and a half syndrome, total internal ophthalmoplegia, rare strabismus and restriction syndrome, congenital strabismus, Duane retraction syndrome, animal esotropia, Pattern Strabismus, associated phoria, incomitant strabismus.", "43 finer distinctions are held as aliases rather than separate entries, because telling them apart needs a task that asks for it.", "Described in 74 Wikipedia languages, which is a measure of how widely the thing is known, not of how important it is." ], "openQuestionsForResearch": [ "Which of the bundles below does a real task actually need, and which are ceremony?", "What does this thing have that the facets do not capture at all?", "Which neighbouring kind is most often confused with a strabismus, and on what evidence are they told apart?" ], "whatItIsMadeOf": "an abstraction with no physical instance", "physicalCharacter": [ "Does nothing on its own; everything it does, something else did to it.", "These come from the domain this entry sits in rather than from the entry itself, so treat them as a first guess about the whole domain applied to one thing." ], "whatCanBeDoneWithIt": [ "observe it, measure it, record its state" ], "howItIsRecognised": [ "Nothing to see. What is recognised is an instance of it, and which instances count is exactly what is argued about." ], "relatedModels": [ { "relation": "covers", "note": "Finer kinds folded into this entry because telling them apart needs a task that asks for it. Each is a model waiting to be split out when one does.", "targets": [ "internuclear ophthalmoplegia", "paralytic squint", "Wildervanck syndrome", "One and a half syndrome", "total internal ophthalmoplegia", "rare strabismus and restriction syndrome", "congenital strabismus", "Duane retraction syndrome", "animal esotropia", "Pattern Strabismus", "associated phoria", "incomitant strabismus" ] } ], "standing": "Described in 74 Wikipedia languages, which measures how widely it is written about rather than how important or how common it is. 43 finer distinctions are held inside this entry as names rather than as separate models.", "structure": { "bundles": [ { "id": "identity-and-classification", "name": "Identity, naming and classification", "description": "How an agent tells one strabismus from another, and a strabismus from things that resemble it.", "rationale": "Recognition comes before every other claim. Without stable identity nothing else in the model can be trusted to be about the same thing twice.", "layers": [ { "id": "naming-and-identifiers", "name": "Names and identifiers", "description": "The names this thing goes by and the identifiers that survive translation and time.", "findings": [ { "id": "preferred-name-and-aliases", "name": "Preferred name, aliases and local names", "description": "Which name to use, which names mean the same thing, and which merely sound similar.", "questions": [ { "id": "preferred-name-and-aliases-q01", "text": "What identifies and describes the name of a strabismus, and in what units or vocabulary?", "kind": "definition", "answer_data": [ "identifiers", "types and classes", "values with units", "explicit unknowns" ] }, { "id": "preferred-name-and-aliases-q02", "text": "Who or what asserted this about the name of a strabismus, by which method, and when was it true?", "kind": "provenance", "answer_data": [ "authority", "method", "evidence", "event time", "knowledge time" ] }, { "id": "preferred-name-and-aliases-q03", "text": "What may an agent decide or do once the name of a strabismus is known, and what must it refuse?", "kind": "action", "answer_data": [ "permitted actions", "preconditions", "refusals", "escalation" ] } ] }, { "id": "stable-identifiers", "name": "Stable identifiers and external keys", "description": "Identifiers that keep pointing at this kind of thing across systems and languages.", "questions": [ { "id": "stable-identifiers-q01", "text": "What identifies and describes an identifier for a strabismus, and in what units or vocabulary?", "kind": "definition", "answer_data": [ "identifiers", "types and classes", "values with units", "explicit unknowns" ] }, { "id": "stable-identifiers-q02", "text": "Who or what asserted this about an identifier for a strabismus, by which method, and when was it true?", "kind": "provenance", "answer_data": [ "authority", "method", "evidence", "event time", "knowledge time" ] }, { "id": "stable-identifiers-q03", "text": "What may an agent decide or do once an identifier for a strabismus is known, and what must it refuse?", "kind": "action", "answer_data": [ "permitted actions", "preconditions", "refusals", "escalation" ] } ] } ] }, { "id": "classification-and-granularity", "name": "Classification and granularity", "description": "Where a strabismus sits among kinds, and how finely a task needs to cut it.", "findings": [ { "id": "kind-and-parents", "name": "Kind, parents and neighbouring kinds", "description": "The classes this thing belongs to and the ones it is next to.", "questions": [ { "id": "kind-and-parents-q01", "text": "What identifies and describes the kind of a strabismus, and in what units or vocabulary?", "kind": "definition", "answer_data": [ "identifiers", "types and classes", "values with units", "explicit unknowns" ] }, { "id": "kind-and-parents-q02", "text": "Who or what asserted this about the kind of a strabismus, by which method, and when was it true?", "kind": "provenance", "answer_data": [ "authority", "method", "evidence", "event time", "knowledge time" ] }, { "id": "kind-and-parents-q03", "text": "What may an agent decide or do once the kind of a strabismus is known, and what must it refuse?", "kind": "action", "answer_data": [ "permitted actions", "preconditions", "refusals", "escalation" ] } ] }, { "id": "distinguishing-features", "name": "Distinguishing features", "description": "What separates a strabismus from the things most often confused with it.", "questions": [ { "id": "distinguishing-features-q01", "text": "What identifies and describes what distinguishes a strabismus, and in what units or vocabulary?", "kind": "definition", "answer_data": [ "identifiers", "types and classes", "values with units", "explicit unknowns" ] }, { "id": "distinguishing-features-q02", "text": "Who or what asserted this about what distinguishes a strabismus, by which method, and when was it true?", "kind": "provenance", "answer_data": [ "authority", "method", "evidence", "event time", "knowledge time" ] }, { "id": "distinguishing-features-q03", "text": "What may an agent decide or do once what distinguishes a strabismus is known, and what must it refuse?", "kind": "action", "answer_data": [ "permitted actions", "preconditions", "refusals", "escalation" ] } ] } ] } ] }, { "id": "state-and-lifecycle", "name": "State and lifecycle", "description": "The states a strabismus passes through and the events that move it between them.", "rationale": "Most decisions about a thing depend on what state it is in now, which is a claim with a time on it, not a property.", "layers": [ { "id": "lifecycle-stages", "name": "Lifecycle stages", "description": "From coming into existence to ceasing to be one of these.", "findings": [ { "id": "stages-and-transitions", "name": "Stages and transitions", "description": "The stages worth naming and what moves a strabismus between them.", "questions": [ { "id": "stages-and-transitions-q01", "text": "What identifies and describes the lifecycle of a strabismus, and in what units or vocabulary?", "kind": "definition", "answer_data": [ "identifiers", "types and classes", "values with units", "explicit unknowns" ] }, { "id": "stages-and-transitions-q02", "text": "Who or what asserted this about the lifecycle of a strabismus, by which method, and when was it true?", "kind": "provenance", "answer_data": [ "authority", "method", "evidence", "event time", "knowledge time" ] }, { "id": "stages-and-transitions-q03", "text": "What may an agent decide or do once the lifecycle of a strabismus is known, and what must it refuse?", "kind": "action", "answer_data": [ "permitted actions", "preconditions", "refusals", "escalation" ] } ] } ] }, { "id": "observations-and-status", "name": "Observations and current status", "description": "What is observed about a strabismus, how often and by whom.", "findings": [ { "id": "observation-record", "name": "Observation record", "description": "How an observation of a strabismus is recorded so that it can be superseded rather than overwritten.", "questions": [ { "id": "observation-record-q01", "text": "What identifies and describes an observation of a strabismus, and in what units or vocabulary?", "kind": "definition", "answer_data": [ "identifiers", "types and classes", "values with units", "explicit unknowns" ] }, { "id": "observation-record-q02", "text": "Who or what asserted this about an observation of a strabismus, by which method, and when was it true?", "kind": "provenance", "answer_data": [ "authority", "method", "evidence", "event time", "knowledge time" ] }, { "id": "observation-record-q03", "text": "What may an agent decide or do once an observation of a strabismus is known, and what must it refuse?", "kind": "action", "answer_data": [ "permitted actions", "preconditions", "refusals", "escalation" ] } ] } ] } ] }, { "id": "definitions-in-contest", "name": "Definitions and who holds them", "description": "What strabismus is taken to mean, and by whom.", "rationale": "When a field disagrees about a concept, the disagreement is the content. A model that picks one definition silently destroys the information.", "layers": [ { "id": "competing-definitions", "name": "Competing definitions", "description": "The main readings and the traditions behind them.", "findings": [ { "id": "definition-map", "name": "Definitions and their holders", "description": "Each definition with the school or body that holds it.", "questions": [ { "id": "definition-map-q01", "text": "Which definitions of strabismus are in use, and which tradition or body holds each?", "kind": "definition" }, { "id": "definition-map-q02", "text": "What turns on the difference between them in practice?", "kind": "boundary" } ] } ] }, { "id": "operationalisation", "name": "Operationalisation", "description": "How it is measured or applied when it has to be.", "findings": [ { "id": "operational-record", "name": "Measures and proxies", "description": "Instruments and indicators used to stand in for it.", "questions": [ { "id": "operational-record-q01", "text": "How is strabismus operationalised or measured in practice, and by what instrument?", "kind": "measurement" }, { "id": "operational-record-q02", "text": "What does that operationalisation leave out, and when does that matter?", "kind": "boundary" } ] } ] } ] }, { "id": "instances-and-use", "name": "Instances, use and consequence", "description": "What counts as an instance of strabismus and what follows from calling something that.", "rationale": "Applying a concept is an act with consequences, so a model must say what the label licenses and what it does not.", "layers": [ { "id": "instances", "name": "What counts as an instance", "description": "Clear cases, borderline cases and non-cases.", "findings": [ { "id": "instance-tests", "name": "Tests for an instance", "description": "What would settle whether something falls under it.", "questions": [ { "id": "instance-tests-q01", "text": "What would settle whether something is an instance of strabismus?", "kind": "boundary" }, { "id": "instance-tests-q02", "text": "Which borderline cases are argued about, and on what grounds?", "kind": "definition" } ] } ] }, { "id": "consequence", "name": "Consequence of application", "description": "Rights, duties or decisions that follow from the label.", "findings": [ { "id": "consequence-record", "name": "What the label licenses", "description": "What an agent may do once something is classified this way.", "questions": [ { "id": "consequence-record-q01", "text": "What follows practically once something is treated as strabismus?", "kind": "action" }, { "id": "consequence-record-q02", "text": "What must an agent not infer from the label alone?", "kind": "action" } ] } ] } ] }, { "id": "provenance-and-evidence", "name": "Provenance, evidence and time", "description": "Where every claim about a strabismus came from and when it held.", "rationale": "A claim without a source and a time cannot be superseded, only overwritten, and an agent that overwrites loses the ability to explain itself.", "layers": [ { "id": "source-and-authority", "name": "Source and authority", "description": "Who said it, on what evidence, and how strongly.", "findings": [ { "id": "claim-provenance", "name": "Claim provenance and confidence", "description": "The authority behind each claim about a strabismus and how confident it is.", "questions": [ { "id": "claim-provenance-q01", "text": "What identifies and describes a claim about a strabismus, and in what units or vocabulary?", "kind": "definition", "answer_data": [ "identifiers", "types and classes", "values with units", "explicit unknowns" ] }, { "id": "claim-provenance-q02", "text": "Who or what asserted this about a claim about a strabismus, by which method, and when was it true?", "kind": "provenance", "answer_data": [ "authority", "method", "evidence", "event time", "knowledge time" ] }, { "id": "claim-provenance-q03", "text": "What may an agent decide or do once a claim about a strabismus is known, and what must it refuse?", "kind": "action", "answer_data": [ "permitted actions", "preconditions", "refusals", "escalation" ] } ] } ] }, { "id": "time-and-versions", "name": "Time, versions and supersession", "description": "When a claim was true, when it was learnt, and what replaced it.", "findings": [ { "id": "validity-and-supersession", "name": "Validity period and supersession", "description": "How an old claim about a strabismus is retired without being erased.", "questions": [ { "id": "validity-and-supersession-q01", "text": "What identifies and describes the validity of a claim about a strabismus, and in what units or vocabulary?", "kind": "definition", "answer_data": [ "identifiers", "types and classes", "values with units", "explicit unknowns" ] }, { "id": "validity-and-supersession-q02", "text": "Who or what asserted this about the validity of a claim about a strabismus, by which method, and when was it true?", "kind": "provenance", "answer_data": [ "authority", "method", "evidence", "event time", "knowledge time" ] }, { "id": "validity-and-supersession-q03", "text": "What may an agent decide or do once the validity of a claim about a strabismus is known, and what must it refuse?", "kind": "action", "answer_data": [ "permitted actions", "preconditions", "refusals", "escalation" ] } ] } ] } ] } ] }, "statistics": { "bundles": 5, "layers": 10, "findings": 12, "questions": 32 } } } }