A 4-year-old girl attends her preschool vision screening in the year before she starts school. She is well, ha…

Question

A 4-year-old girl attends her preschool vision screening in the year before she starts school. She is well, has no complaints, and her parents have noticed nothing wrong with her eyes. Screening finds visual acuity of 6/9 in the right eye and 6/24 in the left. There is no squint, the eyes move fully, and both red reflexes are present and equal. Her older brother wore a patch over one eye when he was five. Which one of the following is the most appropriate next step for this child?

Accepted Answer

Refer for orthoptic and ophthalmological assessment.

Answer

Patch the right eye two hours daily.

Answer

Prescribe spectacles for the left eye.

Answer

Reassure the parents and rescreen at school entry.

Answer

Repeat the acuity test in three months.

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