What is the most common symptom associated with Divergence Excess?

What is the most common symptom associated with Divergence Excess?

• A. Intermittent diplopia
• B. Constant diplopia
• C. Ocular pain
• D. Headache

Answer: (A)

Divergence excess is a form of exotropia where the outward misalignment is much larger at distance than at near. This makes distant targets harder to fuse, so double vision tends to appear when looking far away. At near, fusion often persists or suppression reduces symptoms, so the diplopia is not constant—it's intermittent. Ocular pain isn’t a defining feature of this condition, and headaches can occur for various reasons but don’t specifically characterize divergence excess. Therefore, intermittent diplopia is the most common symptom.

Divergence excess is a form of exotropia where the outward misalignment is much larger at distance than at near. This makes distant targets harder to fuse, so double vision tends to appear when looking far away. At near, fusion often persists or suppression reduces symptoms, so the diplopia is not constant—it's intermittent. Ocular pain isn’t a defining feature of this condition, and headaches can occur for various reasons but don’t specifically characterize divergence excess. Therefore, intermittent diplopia is the most common symptom.