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Strabismus (Squint)

The following information provides a guide for GPs on how to manage or make a referral for presentation of Strabismus (Squint) in children.

  • Low risk pathology

    Child 7 years and under:

    • Manifest or intermittent strabismus
    • Check red reflex before referral
    • Please provide any details about developmental, general health, ocular history or neurological concerns
    • Visual behaviour / visual acuity if known

     

    Non-urgent e-referral to hospital or community children’s eye clinic

  • Severe Pathology

    Acute or sudden onset squint.

    • Squint associated with new onset double vision, or neurological association i.e. Headaches, change in behavior or milestone regression.

     

    Urgent referral to Acute Eye Clinic

  • Potential Serious Pathology

    Abnormal red reflex

     

    Refer within 2 weeks to Acute Eye Clinic

Referral information

Always include:

  • Optometrist referral letter (if available)
  • Child’s date of birth
  • Address
  • Child’s social worker details (including Borough), if any

 

GP Management

 Squint - teens/parents

Re-refer if:

  • Squint visible or worsening condition
  • New Symptoms relating to a squint e.g. (new onset) double vision, eye strain, headaches during close work
  • Significant psychosocial concerns relating to a squint e.g. bullying
  • Parents / carers / child would like surgery

 

Further assistance

This pathway has been produced by Moorfields Eye Hospital NHS Foundation Trust to help clinicians manage the healthcare of children and young people. However, if you need to contact a paediatric clinician, please see below for contact details:

Moorfields Eye Hospital:

Paediatric helpline: 0207 2533411 extn 4569, Mon- Fri 10:00am-13:00pm then 14:00pm-16:00pm 

 

Last updated: May 2021