Surgical Treatment of Exotropia in Adults

Abstract

Surgery for exotropia in adults can be challenging and requires unique surgical skill and experience in examination, testing, and surgical planning. This paper reviews the important diagnostic and surgical principles required for optimal care of adults with exotropia and contrasts this approach with the treatment approach in childhood. I will review important aspects of the etiology, and my approach to the evaluation, preoperative preparation, surgical planning and technique developed during 30 years of experience in treating these patients. It has been my experience that, by following these principles, excellent cosmetic and functional alignment without significant long-term diplopia or other complications will result in patient and surgeon satisfaction in the vast majority of cases.

• exotropia
• preoperative preparation
• surgical planning