Full term 2-month-old female referred to the pediatric ophthalmology clinic by the patient’s primary care provider for “poor fixation”. History of Present Illness: Mom noticed that the patient’s right eye wandered out significantly at birth but reports this has improved. Mom is uncertain if the patient sees well or not.
This is the mother’s first baby. Past Medical History: Full term, normal spontaneous vaginal delivery, no pregnancy complications Family history, medication and ocular history are unremarkable. Physical Exam: General: well-appearing, 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 “sluggishly reactive” OU; no RAPD CRx (cylinder in diopters,…
