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 A 33yearold woman was referred for evaluation of intermittent esotropia When playing video games at a distance or when reading, she developed oscillopsia with eyestrain and noted that her right eye turned up and in She had undergone strabismus surgery for crossed eyes as a young child and more recently had laser in situ keratomileusis Consequently, adult strabismus surgery should not be considered merely cosmetic in most cases In esotropic patients, this improvement typically takes the form of an expansion of binocular visual fields; The different types of acquired exotropia are intermittent exotropia, sensory exotropia, exotropia with neurologic causes and field defects, and consecutive exotropia Certain conditions, such as third nerve palsy , thyroid ophthalmopathy , and iatrogenic trauma following retinal detachment surgery or endoscopic sinus surgery, could cause Plication As A Muscle Strengthening Procedure Surgery Intermittent exotropia surgery in adults