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Vision screening in children: HISTORY: a) check PMH for premature birth, Down syndrome, or cerebral palsy. b) check Family History for strabismus, amblyopia, retinoblastoma, childhood glaucoma, childhood cataracts, or ocular or genetic systemic disease. PHYSICAL: visual acuity, external ocular exam (refractive error, childhood glaucoma), evaluate fixation and alignment (amblyopia, strabismus), and red reflex (retinoblastoma, childhood cataracts). Am Fam Physician. 2013 Aug 15;88(4):241-8.    (retrieved Feb, 2014). There are currently 1090 pearls in the database. While every attempt has been made to ensure accuracy, mistakes can and do occur. Use databank at your own risk. All pearls © 2024 by the Internet Medical Association. Click Here to view more medical pearls.