Abstract: Intermittent exotropia (IXT) is a common type of strabismus in children in China, and the relationship between IXT and myopia progression has received widespread attention in recent years. Existing studies suggest that children with IXT may experience imbalanced accommodation-convergence, abnormal fusion function, and unstable visual input, which could biologically influence axial elongation and thereby contribute to the onset and progression of myopia. However, clinical findings on whether IXT affects myopia progression remain inconsistent. Some evidence indicates that IXT may accelerate myopia progression, while other studies suggest its effects are not significant. Overall, the development and progression of myopia in the context of IXT result from multifactorial interactions. This article aims to provide a systematic review of the impact of IXT on myopia progression in children and the underlying mechanisms.

Key words: Intermittent exotropia, Children, Myopia progression