Background: Intermittent exotropia (IXT) is the most common form of strabismus, characterized by an intermittent outward deviation of the eye. Control of the intermittent deviation canvary throughout the day. The control depends on the overall health and attention of the patient. The importance of vision therapy approach in management of IXT is illustrated through this case. Case report: A 6-year-old female visited the vision therapy department in Sankara Eye Hospital, Bangalore with a complaint of occasional diplopia along with headache. However, after a complete binocular vision assessment she was diagnosed with intermittent exotropia (divergence excess type) and advised for 12 sessions of in-office vision therapy plan along with a home exercises. The patient showed significant improvement by the end of the 12 sessions. Conclusion: Vision therapy plays an important role in the management of intermittent exotropia. Patients suspected to have poor vergence should be referred to Optometrist for binocular vision examination and for a holistic approach in the management of the condition.
