
Symptoms and warning signs
Arrange an eye examination when you notice symptoms such as:
- One eye turning inward, outward, upward or downward
- Closing one eye in bright light
- Sitting very close to books or screens
- Frequent headaches, eye strain or school difficulty
- White pupil, unusual red reflex or abnormal eye movement
- Premature birth or family history of childhood eye problems
Causes and risk factors
- Refractive error
- Eye-muscle imbalance
- Amblyopia
- Congenital or neurological factors
- Prematurity or certain systemic conditions
How diagnosis is made
The examination is tailored to the patient. It may include:
- Age-appropriate vision testing
- Cycloplegic refraction when indicated
- Eye-alignment and movement assessment
- Front and back of eye examination
- Additional referral for complex paediatric or surgical needs
Technology and clinical tools
- Child-friendly vision and alignment testing
- Cycloplegic refraction
- Retinal examination
- Network-based paediatric ophthalmology and ROP support when required
Specific equipment and procedure availability can vary by centre. SGVEH Champa can help coordinate network-based testing when recommended.
Treatment options
- Spectacles
- Patching or other amblyopia therapy
- Exercises for selected conditions
- Squint surgery when clinically indicated
- Regular follow-up during visual development
Recovery and follow-up
Children usually adapt to glasses or patching gradually. Squint-surgery recovery depends on the procedure. Consistent follow-up is essential because vision develops throughout childhood.
Doctor’s advice
Do not assume a child will outgrow squint or poor vision. Early assessment provides the best opportunity to support normal visual development.



