Pediatric ophthalmologists treat all eye problems in children under the age of 15 years. As strabismus is one of the common problems in children, pediatric ophthalmologists are trained to treat strabismus in children and adults. A child should not be regarded as a small adult. Children have unique needs and concerns. An incorrect treatment decision or a delayed treatment could result in a permanent impairment of vision. Children do not volunteer complaints, and may not give a reliable history. Many a time they would not cooperate for an exam either. There are special techniques to assess vision in children. Special hand held instruments are needed to examine very young children. A child friendly atmosphere is also required in the examination area to win the confidence of children. A play area and a feeding room for babies are an integral part of a pediatric ophthalmology unit.