HomeAnswersOphthalmology (Eye Care)intermittent divergent squintMy daughter is showing a squint occasionally. What should I do?

How can an intermittent squint be diagnosed?

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The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

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Published At April 26, 2022
Reviewed AtAugust 24, 2023

Patient's Query

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.

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.

Patient's Query

Hello doctor,

Thank you for the response.

As advised by you, I consulted the eye doctor for the above problem, and she prescribed using cyclopentolate eye drops for both the eyes every 30 minutes for two hours. Following this, they will perform a test on whether squint is caused by power vision in kids or not. Then, depending on the test result, they may give spectacles. Is it the correct treatment? Are the drops prescribed correct, or are there any side effects? Kindly let me know.

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.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Gopal R. Damani
Dr. Gopal R. Damani

Ophthalmology (Eye Care)

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