Sections View Full Chapter Figures Tables Videos Annotate Full Chapter Figures Tables Videos Supplementary Content +++ Key Features ++ Type of strabismus in which the eyes are divergent/wall-eyed May be intermittent or constant and involve one or both eyes +++ Clinical Findings ++ Deviation of the eyes toward the ears most often begins intermittently and occurs after age 2 years Congenital exotropia is extremely rare in an otherwise healthy infant Early-onset exotropia may occur in infants and children with severe neurologic problems +++ Diagnosis ++ Evaluation of the corneal light reflex reveals the penlight's reflection in the deviated eye is displaced nasally All children with constant, congenital exotropia require CNS neuroimaging +++ Treatment ++ Surgery Orthoptic exercises Patching Glasses (occasionally) Referral to an ophthalmologist is indicated Your Access profile is currently affiliated with [InstitutionA] and is in the process of switching affiliations to [InstitutionB]. Please select how you would like to proceed. Keep the current affiliation with [InstitutionA] and continue with the Access profile sign in process Switch affiliation to [InstitutionB] and continue with the Access profile sign in process Get Free Access Through Your Institution Learn how to see if your library subscribes to McGraw Hill Medical products. Subscribe: Institutional or Individual Sign In Error: Incorrect UserName or Password Username Error: Please enter User Name Password Error: Please enter Password Sign in Forgot Password? Forgot Username? Sign in via OpenAthens Sign in via Shibboleth You already have access! Please proceed to your institution's subscription. Create a free profile for additional features.