squint in a child - NICE guidance - suspected neurological conditions - recognition and referral
Last edited 05/2019 and last reviewed 11/2020
Squint
Summary points from NICE relating to squint in children are:
New-onset squint with loss of red reflex
- refer immediately children with new-onset squint that occurs together with loss of red reflex in one or both eyes to ophthalmology services
New-onset squint with ataxia, vomiting or headache
- refer immediately children with new-onset squint that occurs together with ataxia, vomiting or headache to acute paediatric services
Paralytic squint
- refer urgently children with paralytic squint for neurological assessment, even in the absence of other signs and symptoms of raised intracranial pressure
Non-paralytic squint
- refer children with non-paralytic squint to ophthalmology services
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