hi... +4 is a high hypermetropia
. but it will reduce as she grows up...dont worry. she needs to use glasses continuoslyso that her visual developement happens normally. her squint
is because of her refractive error
so as her power goes on decreasing...the squint will also decrease . but u have to b vry alert and strict that she uses her specs regularly and properly. it is vry important that her glasses are well fitted and not loose as it should not happen that she is seeing from above the glasses. also she should undergo regular checkup at 3-4 months interval and evrytime her dilated refraction
should be done.
she can study & play normally...please donot restrict her activities.