What is the first step in the management of an 18 month old child whose both eyes are deviated medially:
Ans. (c) Refractive error testingRef: Kanski's Clinical Ophthalmology 8th Ed; Page No- 755* First step of managing squint patient is visual acuity assessment and refraction under cycloplegia with atropine must for children less than 6 years of age.* Cycloplegic choice for children Age <5 years: Atropine 1% ointment TDSx3 days.* Cycloplegic choice for Adults: Cyclopentolate 1%.
Forced ductions test
Examination under anaesthesia
Refractive error testing
Examination of fundus
Strabismus