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Abstract Intermittent exotropia is a common type of childhood strabismus which initially presents on distance fixation, or with periods of tiredness or inattention, but it may progress in time and may be present on near fixation too, finally leading to constant exotropia.Indications for treatment include cosmetic issues with an increase in angle of deviation,decompensation of the deviation, and weak binocular control.The aim of this study is to evaluate management of intermittent exotropia in children.This study included 36 patients , their ages ranged between 2 and 18 years. Twenty-one patients were females and 15 patients were males. There were 28 patients with surgical treatment and 8 patients with non-surgical treatment. Surgical treatment is important for preservation or restoration of binocular function, prevention of diplopia, and cosmesis.Non-surgical management for intermittent exotropia is not very effective, it may be preferred in patients with small deviations with excellent control, very young patients in whom surgical overcorrection can lead to amblyopia or loss of bifoveal fixation.All cases underwent full ophthalmic examination, cycloplegic refraction, measurements of angle of deviation, assessment of ocular motility and measurements of visual acuity. |