OnExam

  • When shining a light into the patient’s eyes, observe the reflections off each cornea
  • Suspect esotropia if the reflection of light is noted temporally on the cornea
  • Eye_chart_2
  • Suspect exotropia (outward deviation) if the reflection of light is noted nasally

References

  1. Bickley LS, Szilagyi PG. Bates' Guide to Physical Examination and History-Taking, 11th ed. Baltimore: Lippincott Williams & Wilkins; 2011.
  2. Cline, MC, Ma, JM, Cydulka, RK, Meckler, GD, Handel, DS, and Thomas, SH. Tintinalli’s Emergency Medicine: A Comprehensive Study Guide, 7th ed. New York: McGraw-Hill Professional; 2010.
  3. Hay, WW, Levin, MJ, Deterding, RR, and Abzug, MJ. Current Diagnosis and Treatment: Pediatrics, 22nd ed. New York: McGraw-Hill Professional; 2014.
  4. Leblond, R.F., Brown, D.D., and DeGowin, R.L. DeGowin’s Diagnostic Examination, 9th ed. New York: McGraw-Hill Professional; 2008.
  5. McDonnell, C. Assessment of the anterior chamber angle and depth. http://www.optometry.co.uk/uploads/articles/Clinical15Oct2010.pdf (accessed 24 December 2014).