<prompt> What is the first step in the management of an 18 month old child whose both eyes are deviated medially:Forced ductions testExamination under anaesthesiaRefractive error testingExamination of fundus  <response>: Ans. c Refractive error testingRef: Kanskis Clinical Ophthalmology 8th Ed; Page No- 755 First step of managing squint patient is visual acuity assessment and refraction under cycloplegia with atropine must for children less than 6 years of age. Cycloplegic choice for children Age 5 years: Atropine 1 ointment TDSx3 days. Cycloplegic choice for Adults: Cyclopentolate 1. 