Text: Vision is extremely important to the developing infant and should be carefully assessed in early infancy. Evaluation includes examination for the red reflex at each visit during the first year of life. The clinician should examine for fixation and following as early as the 2-week visit, but definitely at the 2-month visit, at which time conjugate gaze can also be evaluated. Examine for strabismus, exophoria and esophoria using the cover/uncover test. Intermittent strabismus is common in the young infant, but fixed strabismus should be referred to an ophthalmologist as soon as it is recognized, which may be as early as one or two months of age.