Hi , Thank you for your query. Do not panic. Evaluation for an underlying disease process should be made when symptoms and signs lead in that direction. Medical therapy should be attempted. However, most cases of infantile esotropia will require surgical intervention. It should be noted that any eye disease which significantly decreases vision (i.e. corneal opacity, cataract, optic nerve disease, retinal disease) may compromise eye alignment and can lead to an esotropia. Life threatening conditions such as retinoblastoma must be ruled out when infantile strabismus is noted. Usually children with infantile esotropia that present after 6-9 months of age and those who show limited abduction require imaging. If you have any further queries you are free to consult me. Hope this answers your query. Wishing a speedy recovery. Have a nice day.