Outward Deviation Of Right in Pediatrics — 4yo Child | Paediatric Neurology | SMLE Q#19209
SMLE Question #19209
Pediatrics
Paediatric Neurology
Objective: OBJ-STRAB-001
Last updated: April 2026
A 4-year-old child is brought to clinic for an outward deviation of the right eye for 6 months. It is present most of the time, and the parents report the child sometimes closes one eye in bright light. There is no history of trauma or eye discharge. Visual acuity screening suggests reduced vision in the deviating eye. Cover–uncover testing shows a constant exotropia. The family attempted intermittent patching at home without improvement in alignment. What is the most appropriate next step in management?
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