Binocularity after Surgery for Intermittent Exotropia

Abstract

In 1978, at the Asilomar Meeting of the International Strabis-mological Association, I reported on a small group of patients (Al) after surgery for intermittent exotropia. Nine of the forty-one, or twenty percent of these patients, were overcorrected and not only did not improve their binocularity but lost some binocularity and, in a few instances, lost visual acuity as well. The question of the optimal age for the surgery of exotropia was introduced in the discussion. The paper did not answer the question statistically or satisfactorily, although the age at time of surgery in those patients who lost acuity and binocularity was slightly younger (3.7 years) than the average age of the whole group (4.5 years).