Increasing Exotropia and Decreasing Vision in a School-aged Boy

Andrew G. Lee, Richard J. Olson, Daniel J. Bonthius, Paul H. Phillips

Research output: Contribution to journalArticlepeer-review

4 Scopus citations


An 8-year-old boy presented with bilateral visual loss and an increasing exotropia, and later developed deteriorating school performance. Magnetic resonance imaging of the head showed bilateral, symmetric, T2, and FLAIR white matter abnormalities in the parieto-occipital regions. Elevated serum very long chain fatty acids confirmed the diagnosis of X-linked adrenoleukodystrophy. Ophthalmologists should be aware of the diagnosis in boys with visual loss, hyperactivity, behavioral changes, and deterioration in school performance. Visual loss may be the presenting or predominant feature in X-linked adrenoleukodystrophy.

Original languageEnglish (US)
Pages (from-to)672-679
Number of pages8
JournalSurvey of Ophthalmology
Issue number6
StatePublished - Nov 2007


  • exotropia
  • visual loss
  • X-linked adrenoleukodystrophy

ASJC Scopus subject areas

  • Ophthalmology


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