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Is Exotropia A Genetic Disorder?

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Posted on Thu, 27 Oct 2016
Question: Dear Dr.
A 3 year old male child is suffering from Intermittent Exotropia with Bilateral Dissociated Vertical Deviation with Bilateral Inferior Oblique Muscle Overaction. I want to know that the exact cause for the said ailment and whether its congenital in nature or not? if it is a congenital then falls under which category external or internal congenital? disease?
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Answered by Dr. N K Mishra (18 hours later)
Brief Answer:
This is not a congenital defect

Detailed Answer:
My dear,
Thanks for sending your query to us.

This is not a congenital problem. There may be some weakness to begin with, which over a passage of time gets exacerbated.This is what is happening now. The child does not get XXXXXXX exotropia. The problem is intermittent and it is under control most of time. This is where role of conservative management comes into play, to strengthen the muscles so that the eye is straight..

There is a issue of vertical displacement also, which, if doesn't respond then prisms are helpful.
Do get back to me in case of any further query in this regard.
Above answer was peer-reviewed by : Dr. Arnab Banerjee
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Answered by
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Dr. N K Mishra

Ophthalmologist

Practicing since :1977

Answered : 1297 Questions

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Is Exotropia A Genetic Disorder?

Brief Answer: This is not a congenital defect Detailed Answer: My dear, Thanks for sending your query to us. This is not a congenital problem. There may be some weakness to begin with, which over a passage of time gets exacerbated.This is what is happening now. The child does not get XXXXXXX exotropia. The problem is intermittent and it is under control most of time. This is where role of conservative management comes into play, to strengthen the muscles so that the eye is straight.. There is a issue of vertical displacement also, which, if doesn't respond then prisms are helpful. Do get back to me in case of any further query in this regard.