We read the article “Ocular Torsion among Patients with Intermittent Exotropia: Relationships with Disease Severity Factors,” by Shin and associates, with interest. We would like to congratulate the authors on this excellent study. It is a laudable attempt to study a factor that, hitherto, has not been evaluated in purely horizontal deviations with no patterns. This study explored a new avenue that may change our current understanding of the fusional mechanisms in intermittent exotropia. However, we have the following comments regarding the methodology and interpretation of the results.