Apparent Strabismus Before Pursuing in Surgery — Case | Ophthalmology | SMLE Q#16417

SMLE Question #16417

Surgery Ophthalmology

Objective: OBJ-1737

Last updated: February 2026
A 2-month-old boy is brought to clinic because his parents notice intermittent inward deviation of one eye. He was born at term after an uncomplicated pregnancy and delivery. There is no family history of eye disease. Examination suggests intermittent ocular misalignment, but it is difficult to characterize at this age. The pediatrician wants to exclude serious ocular disease that can present with apparent strabismus before pursuing detailed alignment testing. What is the most appropriate next step in evaluation?

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