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To determine the effect of age on the reoperation rate in children undergoing exotropia surgery. This was a population-based retrospective cohort study using claims data that included children≤12years who had undergone exotropia surgery as the first strabismus operation and had≥3years of continuous enrolment were selected from the Optum de-identified Clinformatics Data Mart Database (2003-2019). Patient age at the first exotropia surgery was grouped into three categories; 0-3, 4-6, and 7-12years. We assessed the sex, race, age, surgi