u/thatpoeticsingh

Hi everyone,

I'm a 27-year-old male with intermittent alternating exotropia.

My situation is a bit specific:

• Distance deviation: 30 PD
• Near deviation: 15 PD
• Left eye drifts outward in normal relaxed daily life.
• If I consciously focus, my eyes appear almost perfectly aligned.
• I have no double vision.
• Vision is good (Right eye 6/6, Left eye 6/9, sometimes 6/6).
• I can voluntarily control the deviation for short periods.

Interestingly, if I intentionally switch fixation to my left eye, my right eye can drift outward (alternating exotropia), but this does not happen in my normal daily life.

I've had three surgical opinions:

• Two strabismus surgeons recommended left eye only:
  • Left Medial Rectus Resection (5 mm)
  • Left Lateral Rectus Recession (7 mm)
• One surgeon recommended one muscle in each eye (bilateral surgery).

The two-surgeon consensus is making me lean toward unilateral surgery.