The purpose of this study was to compare the parental observations with the clinical evaluation findings in paediatric patients with intermittent exotropia and to determine the clinical factors associated with the parental observations. The study included 100 parents of 95 children with intermittent exotropia who completed a questionnaire for this study. The mean age of parents was 39.7 years and two thirds were female. The mean age of children was 8.2 years. Exo deviation was a mean of 27.58PD for distance and 29.63PD for near. Mean control score was 2.7 for distance, 1.9 for near and 4.6 combined. Mean age at onset of strabismus was six years. High degree of awareness of exotropia was reported by 76 parents and low degree of awareness by 24. Parents with high degree awareness noted strabismus younger (5.5 versus 7.7 years) and with worse control at distance (2.8 versus 2.2 score). Parental observations were not correlated with the amount of ocular deviation, in keeping with previously reported literature on this topic.