외직근후전 및 내직근절제술 후 재발한 간헐외사시의 재수술 후 경과

• 영문명: The Clinical Course of Recurrent Intermittent Exotropia After Previous Unilateral Recess-Resection Surgery
• 발행기관: 대한안과학회
• 저자명: 김원제 김명미,Won Jae Kim, MD, Myung Mi Kim, MD, PhD
• 간행물 정보: 『대한안과학회지』Ophthalmological Society,volume50,number9, 1386~1391쪽, 전체 6쪽
• 주제분류: 의약학 > 기타의약학
• 파일형태: PDF
• 발행일자: 2009.09.15

영문 초록

Purpose: To investigate the clinical course of recess-resection (R & R) on the contralateral eye for recurrent intermittent exotropia after previous unilateral R & R surgery. Methods: A retrospective analysis was conducted on patients who had unilateral R & R surgery and patients who had a second R & R surgery on the contralateral eye for recurrent intermittent exotropia with at least 12 months of postoperative follow-up. Results: Our study included 490 patients with unilateral R & R and 119 patients with contralateral R & R. Recurrence was defined as an ocular misalignment of greater than 11PD during follow-up. Cumulative probabilities of surgical success rates were 42.7% and 66.4%, respectively (p=0.000). Conclusions: Exotropia reappeared in recurrent intermittent exotropia after contralateral R & R. However, when considering a long-term prognosis, the cumulative probabilities of surgical success were significantly higher in the second surgery.

키워드

Recess-resection, Recurrent intermittent exotropia, Survival curve