How is childhood strabismus and amblyopia treated?

Patient's question:

Dear Director Ma,
My daughter had bilateral alternating exotropia surgery at Beijing Children's Hospital when she was one year old in 2008. At that time, dilated eye exams did not reveal amblyopia, but during her follow-up visit to a local ophthalmology hospital this year, the doctor confirmed bilateral alternating exotropia of about 15 degrees, along with amblyopia during dilation. Her uncorrected visual acuity is 0.6, and she also has astigmatism.
If surgery is not performed now, will it affect the development of binocular vision in my child? Will it hinder the improvement of her amblyopic vision? If surgery is done first, my daughter has already undergone one bilateral strabismus surgery. Will a second surgery be the last eye strabismus surgery for her? What should be done if strabismus occurs again in the future?

Doctor's answer:

Exotropia of 15 degrees requires surgical correction. How much was the amount of the last surgery? Can vision be improved first.

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