Approach to amblyopia and strabismus (pediatrics) Quiz: Ace Your Exams

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6-year-old boy is brought to the pediatrician for evaluation of a “lazy eye. Teachers have noticed the patient squinting at the blackboard for several weeks, and the child’s caregiver notes that the left eye now appears to be “looking inward” over the past several days. The patient is otherwise healthy and takes no medications. Vital signs are within normal limitsPhysical examination reveals the finding shown in the image below. The patient’s red reflexes are intact bilaterallyVisual acuity is 20/20 OD (right eye) and 20/4OS (left eye). Corneal light reflection and a cover-uncover test demonstrate persistent ocular misalignment, and there is persistent deviation regardless of gaze direction. Which of the following is the most likely diagnosis?  


Reproduced from: Wikipedia (CC by 3.0)

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