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 MyAccess profile is currently affiliated with '[InstitutionA]' and is in the process of switching affiliations to '[InstitutionB]'. Please click ‘Continue’ to continue the affiliation switch, otherwise click ‘Cancel’ to cancel signing in. 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 Username Error: Please enter User Name Password Error: Please enter Password Forgot Username? Forgot Password? Sign in via OpenAthens Sign in via Shibboleth