Q. I developed intermittent exotropia in late adulthood. Is it a concerning issue?

Answered by
Dr. Pooja Pandya
and medically reviewed by Dr. Vinodhini. J
This is a premium question & answer published on Jun 04, 2020

Hello doctor,

I developed intermittent exotropia in late adulthood. I am 29 years old and this started about two years now. Should I concern about it?

Dr. Pooja Pandya

Ophthalmology (Eye Care)
#

Hello,

Welcome to icliniq.com.

As you have described you have started intermittent exotropia at later age right. See that is called strabismus in medical terminology usually we can treat it if it is by birth. But in your case situation is different. So there can be some neurological issues which is leading to exotropia. So my advice is you should consult strabismologist as well as neurologist also just to rule out the cause of exotropia.

First you should consult strabismologist and then neurologist. So we can fine out the reason for it and depending upon that you can plan your treatment.


The Probable causes:

Can be idiopathic. Can be neurological.

Investigations to be done:

Complete ophthalmic assessment.

Differential diagnosis:

Cranial nerve palsy.

Probable diagnosis:

Squint.

Treatment plan:

As described above.

Regarding follow up:

After 1 week.


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Thank you doctor,

What are the idiopathic and neurological diseases that can cause strabismus? I do not remember of ever had an stroke before. I use to have migraine with aura, but I do not have it more than two years now. What are the possibles causes of this happened to me? Could it be brain tumor?

Dr. Pooja Pandya

Ophthalmology (Eye Care)
#

Hello,

Welcome back to icliniq.com.

I cannot explain you without any investigation. Because there are so many reasons like cranial nerve palsy, any history of head trauma or sometimes we cannot find any specific reasons that is called idiopathic. It can be any disease which will lead to such kind of situations. That is why I have suggested you to go and consult a neurologist also because he is the one who can tell you and guide you regarding investigation like MRI (magnetic resonance imaging), CT (computed tomography) scan if needed for you. Before that complete eye exam is also important for this.


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