ABSTRACT

It is not unusual for parents or health care workers to diagnose a convergent squint in infants when none is present. The situation arises because, in some children, the folds of skin at the inner aspect of the eyelids known as epicanthus covers part of the white of the eye to give an appearance of a convergent squint. When the reflections from light in front of the eyes is observed from the cornea, and the reflections are seen to be parallel, the function of the eyes in terms of alignment is assured and the diagnosis is pseudostrabismus (Figure 36).