The results of squint surgery in 42 children with primary, non-paralyt
ic, childhood exotropia are analysed. A 'favourable outcome', defined
as a final alignment for near and distance within +/- 10 dioptres of s
traight, or within +/- 20 dioptres of straight with evidence of binocu
lar single vision, was achieved in 39 (93%) children. The factors affe
cting the final outcome are discussed, including age of onset, age at
the time of surgery, preoperative and post-operative amblyopia, refrac
tive error, anisometropia, the surgical procedures used, and postopera
tive ocular alignment.