MANAGEMENT OPTION OF CHILDHOOD EXOSDEVIATION

Abstract

Intermittent exotropia is the most common form of divergent strabismus. Treatment is
indicated with increasing tropia phase to preserve or restore binocular function and restore/reconstruct normal ocular alignment. While medical treatment is sometimes helpful for temporary relief, surgical therapy is the preferred definitive treatment modality
by most pediatric ophthalmologists and astrobiologists. Congenital exotropia is rarely
associated with amblyopia. The treatment of choice in this condition is also surgical.
Sensory exotropia is most often acquired after monocular visual loss. The preferred
treatment is surgical recession/resection on the impaired eye. Convergence insufficiency is usually not diagnosed until the teenage years or later, and it is best approached
non-surgically with convergence exercises. In this article, we review the current literature and practice on the diagnosis and management of exotropia with emphasis on intermittent exotropia