Good distance fixation during test measurements is essential in the management of pediatric strabismus.James L. Mims III, MD, who is in private practice in San Antonio, Texas, displayed a set of mechanical toys he modified here at the American Association for Pediatric Ophthalmology and Strabismus 38th Annual Meeting. Unlike the standard set of barking dogs that briefly hold the attention of a child, Dr. Mims can trigger his toys' movements at the exact moment he needs to grab a child's attention during test measurements.He uses toys powered by 8x lithium batteries so that he is not dependent on wall current. He surgically taps into the 2 wires in the toys' press-on, press-off switch in the toys' limb or paw. He runs a larger-gauge wire (14 or 16 gauge) to the 2 wires attached to that switch, then adds a new remote switch that he can control. To see more details visit, www.medscape.com
