The Child With Strabismus Who Squints One Eye

Huy D. Nguyen, BSc; Kimberly G. Yen, MD

Disclosures

November 29, 2016

Case Presentation

A 15-month-old boy presented to the eye clinic because his eyes did not move together. The parents had noticed this since birth and believed that the eyes also sometimes looked crossed. They could not say with certainty which eye was the one that crossed and felt that the problem occurred sporadically. The child was born full-term and was otherwise healthy.

Examination of the child demonstrated fix-and-follow vision with each eye and no evidence of fixation preference. Pupillary, external, and anterior segment examinations were normal. There was no torticollis. The child did not have any retinal abnormalities, and cycloplegic refraction was +2.00 D in each eye. Motility examination showed that the patient had an esotropia on left gaze, with limitation of abduction of the left eye (Figures 1-3).

Figure 1. Photograph of the patient in primary gaze.

Figure 2. Photograph of the patient in right gaze.

Figure 3. Photograph of the patient in left gaze.

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