This is a case of an exotropia acquired during childhood and carried it into adulthood, affecting both ocular alignment and binocular visual function. Through our Neuro-Active Vision Therapy, we were able to: 1. Improve neuromuscular control of eye movements 2. Enhance binocular coordination 3. Optimize visual processing and stability Before: outward eye deviation with reduced binocular control After: improved eye alignment with better functional binocular vision Adult exotropia is not purely co