A 6 month-old female infant presents with an occasional crossing of her eyes. Her parents believe that her left eye deviates nasally more than the right. The infant responds to light, tracks faces, and plays with toys without issue. Past ocular history : None Ocular medications : None Past medical history: Born at term without complications. Past family ocular history : Mother with refractive error and maternal uncle with “lazy eye”. Paternal history unremarkable.

Medications : none ROS : Otherwise negative Ocular examination Visual Acuity (cc): OD: Fixes and follows OS: Fixes and follows IOP (tonoapplantation): OD: soft by palpation OS: soft by palpation Pupils: Equal, round and reactive to light, no APD. No leukocoria. Extraocular Movements : Full OU. No nystagmus. Retinoscopy: mild hyperopia OU (+1.00) without astigmatism Confrontational visual fields: Responds to light directed in…