Exotropia in children
Treating outward eye misalignment in children with glasses or surgery as needed.

Signs it's time to visit
- One or both eyes drifting outward, especially with fatigue or illness
- Significant refractive error accompanying the misalignment
- The child unable to bring the eye back to its normal position alone
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Ask on WhatsAppExotropia in children is an outward turn of one or both eyes, away from the nose. It may be present from birth or noticed by parents around 6 months. It's usually caused by significant refractive error (nearsightedness or astigmatism), and sometimes by a retinal or optic nerve issue. Treatment starts with glasses if vision problems are the cause; when a child can't control the misalignment on their own, surgery becomes an option from age 3. Intermittent exotropia, the most common form in Egypt, only appears with fatigue or illness.
Your treatment includes
- Identifying the cause of the exotropia (refractive or otherwise)
- Glasses and visual exercises as a first step
- Surgery from age 3 if the misalignment persists
Quick facts
- Category
- For children
- Suited for
- From the first months up to age 12
- Patient rating
- 4.9
Honestly the best strabismus doctor in Egypt — gentle hands and excellent follow-up.
Everything you want to know
The misalignment itself isn't life-threatening, but early diagnosis and treatment are essential to protect vision from lasting complications.
A family history raises the likelihood, but it doesn't mean the child will definitely be affected — nor does the absence of family history guarantee full protection.
After 4 months, any constant or recurring misalignment is considered abnormal and needs an exam. Sudden onset at any age always calls for an urgent exam.
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