RT Book, Section A1 Lueder, Gregg T. SR Print(0) ID 56152909 T1 Chapter 9. Strabismus in Infants T2 Pediatric Practice: Ophthalmology YR 2011 FD 2011 PB The McGraw-Hill Companies PP New York, NY SN 9780071633802 LK accesspediatrics.mhmedical.com/content.aspx?aid=56152909 RD 2024/03/28 AB Table Graphic Jump Location|Download (.pdf)|PrintThe Problem“My baby’s eyes aren’t straight.”Common CausesNormal newbornPseudostrabismusInfantile esotropiaStrabismus secondary to decreased visionOther CausesOther strabismus (see Chapters 10 and 34)Duane syndromeCranial nerve palsyMöbius syndromeKEY FINDINGSHistoryNormal newbornChild otherwise normalBrief, occasional crossing during first 1 to 2 monthsPseudostrabismusOccasional appearance of mild crossingOften noticed in photographsWorse in side gazeInfantile esotropiaProlonged periods of crossingWorse when tiredMay have family history of strabismusMore common in children with neurological problemsDecreased visionFrequent strabismusMore variable than infantile esotropiaExaminationNormal newbornEsotropia lasts a few secondsChild less than 2 months oldEye examination otherwise normalPseudostrabismusEpicanthal folds/wide nasal bridgeAppears worse in side gazeCorneal light reflex symmetricEyes straight with cover testInfantile esotropiaLarge angle crossingAsymmetric corneal light reflexProlonged or constant crossingPossible amblyopiaStrabismus secondary to decreased visionStrabismus usually variable, both in duration and in anglePossible abnormal red reflex