Treatment of external / lateral strabismus

Exotropia is an outward deviation of the eye that begins intermittently and becomes constant over time, affecting binocular vision.  

Dr. Ossama Abdel Hakim

Characteristics of exotropia

Exotropia is an outward deviation of the eye that begins intermittently and becomes constant over time, affecting binocular vision.
  • It begins intermittently and then becomes constant.
  • It worsens with fatigue and distance viewing.
  • It often appears in childhood.
  • Blurred and double vision.

Main symptoms.

  • Persistent headache.
  • Double vision.
  • Eye strain.
  • Poor concentration.
  • Frequent blinking in children.

Long-term complications.

  • Loss of binocular vision.
  • Impaired depth perception.
  • Amblyopia.
  • Progression to constant strabismus.

Affected populations.

  • Children: visual distraction and impaired binocular vision.
  • Adults: double vision and difficulty focusing.
  • Treatment: precise surgery to restore ocular muscle balance.

Surgery for this type of strabismus is recommended if exotropia is noticeable for more than half the day, if its frequency increases over time, or if there are complaints of unexplained headaches, which may be explained by the child's or adult's effort to control the outward deviation.

The next video, in which Dr. Osama Abdel Hakim discusses exotropia and its symptoms.

The next video shows some cases before and after treatment in which Dr. Osama Abdel Hakim performed eye muscle surgery to fully correct the strabismus.

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