1- Introduce yourself
2- Take verbal consent
3- Explain the procedure to the patient appropriately
4- Check gross VA for proper distant and near target
5- Check gross ocular movement in right and left gaze
6- Perform entire procedure for distant and near and with and without glasses
7- Perform Hirschburg test
a) Shine light, light should fall on glabella
b) Ask the patient to look into the light
c) Note the corneal reflection
d) Comment on this test, whether straight or deviated
8- Cover test
a) Show definite target
b) Note which eye is deviated
c) Cover the straight eye
d) Note other eye to take the fixation
e) REPEAT ABOVE TEST TO CONFIRM THE SQUINT
9) Alternate cover test by alternately covering each eye one by one quickly to check alternate squint.
10) Thanks to patient
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