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Physical therapy exercises for improving intermittent exotropia control post-strabismus surgery: A randomized

Amany R Abdel Wahid^1,2, Sameh G Taher³, Ayah Mohmoud Mohamed⁴

¹Department of Physical Therapy for Surgery, Faculty of Physical Therapy, Cairo University, Giza, Egypt.

Hong Kong Physiotherapy Journal : Official Publication of the Hong Kong Physiotherapy Association Limited = Wu Li Chih Liao

|March 21, 2024

Summary

Post-surgery eye exercises significantly improved exotropia control in patients with intermittent exotropia. This physiotherapy intervention enhanced both near and far vision control after strabismus surgery.

Keywords:

Physical therapy exotropia control eye exercises strabismus

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Last Updated: Jun 30, 2025

Using an Automated Hirschberg Test App to Evaluate Ocular Alignment

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Published on: March 24, 2020

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The Measurement and Treatment of Suppression in Amblyopia

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Published on: December 14, 2012

Area of Science:

Ophthalmology
Orthoptics
Physiotherapy

Background:

Post-strabismus surgery, exotropia control often deteriorates, impacting surgical success.
Improving ocular motor alignment and exotropia control is crucial for successful strabismus surgery outcomes.

Purpose of the Study:

To evaluate the therapeutic efficacy of postoperative eye exercises on exodeviation control following strabismus surgery.

Main Methods:

Forty patients with post-strabismus surgery intermittent exotropia were randomized into experimental and control groups.
The experimental group underwent 24 physiotherapy eye exercise sessions over three months; the control group received standard care.
Exotropia control for near and far targets was assessed using an office-based scale before and after the intervention.

Main Results:

The experimental group showed significant improvement in near exotropia control (mean difference -3.20) compared to the control group.
Far exotropia control also significantly improved in the experimental group post-treatment (mean difference -3.250).

Conclusions:

Physiotherapy eye exercises significantly enhance exotropia control in patients with intermittent exotropia post-strabismus surgery.
The addition of these exercises improves both near and far visual control, contributing to better surgical outcomes.