Exotropia Gallery Patient 367841

Roger:

Before Surgery

Exotropia—an outward drifting of the eye—can cause double vision. To compensate, many patients instinctively close one eye to eliminate the second image.

After Surgery

I performed a brief (approximately 15‑minute) eye muscle procedure to improve Roger’s eye alignment. His eyes are now well aligned, his double vision has resolved, and he retains good binocular comfort. When fatigued, a mild outward tendency (exophoria) can still be observed, which is common and expected.

Important Context

Exotropia reflects underlying neurological signaling that influences eye position. While current treatments cannot alter the brain’s signaling itself, eye muscle surgery is a reliable way to improve ocular alignment and functional vision.

Surgery is effective, but it is not a permanent cure. Recurrence can occur over time. Approximately one‑third of patients may require an additional procedure in the future; the need for a third surgery is uncommon.