Overview

Proper assessment should always include refraction

Pseudostrabismus

• Pseudoeso-

  • Epicanthic folds
  • Narrow IPD
  • Face -asymmetry
  • Proptosis/enophthalmos
  • Negative angle kappa (associated with high myopia)

• Pseudoexo-

  • Wide IPD
  • Positive angle kappa

• Dragging of the macula due to ROP or toxocara can cause pseudo-strabismus…