해리수직편위에 대한 상직근재후전술

• 영문명: The Effect of Superior Rectus Re-recession for Dissociated Vertical Deviation
• 발행기관: 대한안과학회
• 저자명: 김신욱 김명미,Sin-Uk Kim, MD, Myung-Mi Kim, MD
• 간행물 정보: 『대한안과학회지』Ophthalmological Society,volume51,number2, 266~269쪽, 전체 4쪽
• 주제분류: 의약학 > 기타의약학
• 파일형태: PDF
• 발행일자: 2010.02.15

영문 초록

Purpose: When recurrent dissociated vertical deviation (DVD) is cosmetically objectionable after superior rectus recession is used to surgically treat DVD, inferior rectus resection or superior rectus re-recession should be considered. The effect of re-recession of the superior rectus was, therefore, evaluated as a treatment of recurrent DVD. Methods: We retrospectively reviewed the medical records of 9 eyes from 7 patients who had undergone superior rectus re-recession as a second surgery due to recurrence after superior rectus recession for DVD. Results: The mean follow-up period after re-recession of the superior rectus was 32.1 (22~66) months. The preoperative mean deviation was 16.0 prism diopters (PD), and the postoperative mean deviation was 4.9PD. According to the classification of recurrent DVD by Scott, the surgical results of five eyes were excellent (0~4PD), those of 2 eyes were good (10~14PD), and those of 2 eyes were fair. The mean corrected DVD was 4.1PD per 1 mm recession. Conclusions: Postoperatively, 7 of 9 eyes (77.7%) were aligned within 9PD. In cases of recurrent DVD, superior rectus re-recession yielded satisfactory results with minimum surgery on the superior rectus. The results of this study will be helpful in deciding surgical amount of superior rectus re-recession to be performed. J Korean Ophthalmol Soc 2010;51(2):266-269

키워드

Dissociated vertical deviation, Superior rectus re-recession