Constant Ocular Misalignment in Surgery — 4yo Child | Ophthalmology | SMLE Q#12096

SMLE Question #12096

Surgery Ophthalmology

Objective: OBJ-1737

Last updated: February 2026
A 4-year-old boy is brought for a routine eye assessment. His parents report he occasionally closes one eye while watching television. He has no eye pain, redness, or history of trauma. Examination shows normal red reflexes and a normal fundus. On cover testing, the left eye makes a refixation movement when the right eye is covered, consistent with a constant ocular misalignment. What is the most serious potential complication if this is left untreated?

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