How can an intermittent squint be diagnosed?

Question

Hi doctor,

My daughter is two years and two months old. She has eyes have been looking normal for the past two years. But, recently, it occasionally looked like she had a squint eye for the last two months. So what to do now? Should I be worried, or is this normal? Kindly help me.

Answer 1

Hello,

Welcome to icliniq.com.

I understand your concern. In the photo you shared of the squinting eye (attachment removed to protect the patient’s identity), the head of the child is tilted too, so you cannot say it is a squint. It is impossible to diagnose squint in photos, ma'am, more so, intermittent squint. It will require a physical examination. It is best to consult your ophthalmologist as soon as possible if you have any doubts and get your child evaluated.

Answer 2

Hi,

Welcome back to icliniq.com.

Yes, ma'am. They will be performing a wet retinoscopy (a technique to determine the eye's refractive error) after relaxing the accommodation (The ability to adjust the focus of the eyes as the distance between the individual and the object changes) with the cyclopentolate drops. Then they will be doing a post mydriatic test to give the final results, if any. This is a routine practice. Usually, the drops cause slight blurring for up to 48 hours as they dilate the pupil, which gets resolved on its own.