Abstract: It is clinically noticed that some patients with intermittent exotropia (IXT) make excessive convergence  to maintain straight ocular alignment, which might lead to development of accommodative myopia. Studies have shown that IXT may promote development of myopia. The refractive state changes in IXT patient is due to ocular alignment. The binocular accommodative response in IXT patients showed an accommodation spasm, which is known to be associated with myopia. It is critical to choose the appropriate intervention and treatment timing for IXT patients to prevent myopia.  (Int Rev Ophthalmol, 2015, 39：161-164)