Objective: To provide a systematic approach to the child with a new squint.
Method: Review of the current available literature.
Conclusion: Squint is a common presentation in the paediatric population. Although the parents' primary concern may be cosmetic, a new squint in childhood may be the first sign of a serious or life-threatening ocular or neurological pathology. Thorough assessment and timely referral are essential.
Keywords: acute-onset strabismus; paediatric ophthalmology; squint; strabismus.
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