A full-term 2-month-old female is referred to the pediatric ophthalmology clinic by the patient’s primary care provider for “poor fixation”. History of present illness : The patient's mother noticed that the patient’s right eye wandered out significantly at birth but reported this has improved. She is uncertain if the patient sees well or not.
Past ocular history : Unremarkable Past medical history : Full-term, normal spontaneous vaginal delivery, no pregnancy complications Medications : None Allergies : No known drug allergies Family history : No known eye diseases Physical exam: General: Well-appearing, a well-developed infant in no acute distress External exam with mild telecanthus Winces inconsistently to light OU IOP soft by palpation OU Normal alignment for age No obvious nystagmus but possibly a few beats noted on bundled exam. Slit-lamp exam within normal limits OU Pupils were…
