The Ophthalmology Unit,  Universiti Malaysia Sarawak (UNIMAS), Kuching, Sarawak.

The Ophthalmology Department, Sarawak General Hospital, Kuching, Sarawak, East Malaysia.



Another pseudo-squint

Photo by Professor Chua Chung Nen

This 4 year-old boy was brought to the clinic by her concerned parents regarding possible bilateral esotropia. His vision was normal with central corneal reflexes and good ocular movement. The apparent squint was caused by the large epicanthal folds.


Apparent squint in both eyes. More so in the left than the right eye.

However, the corneal reflexes were central.


By pinching the skin medially, the eyes now appear central due to the exposure

of conjunctiva previously hidden by the epicanthal folds.

Next Case of Paediatric Ophthalmology