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 Engaging patients (parents/families) in treatment decisions is increasingly recognised as important and beneficial Yet where the evidence base for treatment options is limited, as with intermittent distance exotropia (X(T)), this presents a challenge for families and clinicians The purpose of this study was to explore how decisions are made in the managementTreatment of Intermittent Exotropia Treatment options consist of Vision Therapy, patching, eyeglasses and/or, very rarely, surgery The most successful form of treatment is inoffice supervised Vision Therapy with home reinforcement Therapy changes the brain and is directed at the cause and cure of the problem Introduction Intermittent exotropia (X(T)) is one of the most common type of strabismus in children as well as adults, especially in the Asian and South Asian populations1–4 In these populations, it has been estimated that the prevalence of exotropia can be up to 7–185 times higher than that of esotropia, out of which the most ...