- Visual acuity
- Corneal light reflex: Can help differentiate strabismus from
- Cover-uncover test
- Why is it important to diagnose and treat strabismus?
- TO PREVENT AMBLYOPIA!
- Refer if persistent beyond 2 months of age
to ophthalmologist as early as 6 weeks of age
- “False appearance” of esotropia resulting from an optical illusion.
- Infants have a flat nasal bridge early in life; The skin that will
eventually cover the lateral aspect of the nasal bridge
overlays the adjacent area of the nasal sclera.
- The absence of visible nasal sclera will cause most observers to mentally
“explain” that appearance by believing that the eyes must be turned toward
- Diagnosis: Symmetric corneal light reflex.
- How do you differentiate pseudostrabismus from true esotropia? Corneal
light reflex. In pseudostrabismus, the corneal light reflection is in the same
position on both pupils.
- What are you going to tell the parents? Reassurance that the patient will
“outgrow” this problem.
CHLA Board Review 2005