Abstract

The management of presbyopia in patients with intermittent exotropia XT or exophoria X presents unique challenges due to the dual needs of addressing accommodative insufficiency and binocular instability. This article explores the effects of plus addition lenses in such patients and discusses the role of prism glasses and convergence exercises as adjunct therapies. The importance of tailored therapeutic approaches to improve near vision and maintain binocular single vision is emphasized, alongside potential treatment strategies for different patient presentations.