20748650 tn?1521032211

Heart Care Professional Seeking Eye Care Professionals opinion

What is the guidance and/or what is your practice in terms of ophthalmology referrals for Mild-Moderate Infantile Esotropia beyond 6 months of age? If a pediatrician seems reluctant to make a referral at what point should a patient be putting their foot down to demand to see a specialist if at all?

I got some decent pictures of the case in question if needed.
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177275 tn?1511755244
The child should be referred immediately to an ophthalmologist as soon as congential esotrophia is observed or even if there is a question of the eyes crossing. This is true of any type of eye muscle problem (strabismus) as the pediatrician is not trained to care for it. DEMAND a referral if you cannot self refer, if you can find a pediatric ophthalmologist if available.
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Thanks Doc!

I tried looking at the relevant guidance from the AAO and it wasn't jiving with what we were getting out of peds. I just needed to hear it from someone else before getting too pushy...
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