Strabismus and ocular motility disorders — branching viva

Outpatient clinic: a three-year-old with a three-month history of an inward-turning right eye that is now constant, an angle that is the same in every direction of gaze, reduced acuity in the right eye and a hyperopic cycloplegic refraction. The examiner asks: what is the diagnosis, which test confirms it and drives the first treatment, and what is the fixed management sequence — then branches to the amblyopia-first principle, to a second child with sudden double vision and an abduction deficit, and finally to a baby referred for a turned eye with broad epicanthal folds.