A child’s head tilting and squinting may be caused by strabismus, amblyopia, refractive error and cervical deformity, etc., which need to be corrected by appropriate correction, surgery and correction of bad habits. What should be done when a child tilts his head and squints depends on the specific situation. If it is caused by refractive error such as refractive error, it is necessary to improve the auxiliary examination such as dilated pupil optometry, and to be corrected by frames or contact lenses; if it is caused by eye movement disorders and strabismus, it is necessary to comply with the doctor’s instructions to use botulinum toxin and other medicines or surgical corrective treatments such as external rectus muscle weakening surgery, and so on. In addition, it is also necessary to be alert to the presence of pediatric congenital strabismus deformity, neck with hard lumps sternocleidomastoid muscle and other neck muscles contracture movement restriction, mild cases can be given to massage and other physical therapy, severe cases of conservative treatment is not effective, can be surgically lifted to limit the treatment and improve the discomfort. It is recommended that children with tilted head and strabismus should consult a doctor in time to assess their condition and follow the doctor’s instructions for treatment.