MANAGEMENT OPTION OF CHILDHOOD EXOSDEVIATION

Intermittent exotropia is the most common form of divergent strabismus. Treatment isindicated 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 modalityby most pediatric ophthalmologists and astrobiologists. Congenital exotropia is rarelyassociated with amblyopia. The treatment of choice in this condition is also surgical.Sensory exotropia is most often acquired after monocular visual loss. The preferredtreatment is surgical recession/resection on the impaired eye. Convergence insufficiency is usually not diagnosed until the teenage years or later, and it is best approachednon-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