What finding in an infant with asymmetrical gaze indicates a need for referral to ophthalmology?

Persistent strabismus in an infant indicates a crucial need for referral to ophthalmology because it suggests a misalignment of the eyes that is not expected to resolve on its own. While temporary strabismus can be common in infants, especially in the first few months of life due to the immaturity of the visual system, persistent strabismus can impact visual development and may lead to amblyopia or other vision problems if not addressed promptly.

The presence of persistent strabismus means that one eye may be consistently deviating from the focal point, which could inhibit proper vision development and lead to long-term vision issues. Early intervention is essential to correct the condition and ensure the child can develop normal vision function.

Temporary strabismus, eye discharge, and the inability to follow objects may warrant monitoring or further evaluation but do not carry the same immediate concern for long-term visual impairment as persistent strabismus does. Therefore, recognizing the importance of persistent strabismus in infants is vital for timely referral and intervention.