Snapshot A 12-month-old girl presents to the pediatrician for a well-baby visit. The child is cooperative and playful. On physical examination, the boy has a head tilt. Deflection is noted on corneal light reflex testing, and cover test shows refixation of the left eye when the other eye is covered. Introduction Abnormal visual development → decreased visual acuity login to view 1 more bullet ETIOLOGY Can divided into three etiologies: login to view 7 more bullets Presentation Depends on the cause login to view 14 more bullets Treatment Correct underlying cause is the initial step login to view 7 more bullets Patching or optic penalization login to view 5 more bullets