내사시에서 양안 내직근후전술 시 기능적적도부 및 팍스의 수술양을 고려한 군 간 수술성적비교

• 영문명: Comparison of Functional Equator-Considering and Parks Methods in Bilateral Medial Rectus Recession for Esotropia
• 발행기관: 대한안과학회
• 저자명: 강병완 박상우 윤경철 허환,Byung Wan Kang, MD, Sang Woo Park, MD, PhD, Kyung Chul Yoon, MD, PhD, Hwan Heo, MD, PhD
• 간행물 정보: 『대한안과학회지』Ophthalmological Society,volume53,number1, 138~144쪽, 전체 7쪽
• 주제분류: 의약학 > 기타의약학
• 파일형태: PDF
• 발행일자: 2012.01.15

영문 초록

Purpose: To compare the surgical outcomes of functional equator-considering and Parks’ methods in infantile esotropia and partially accommodative esotropia. Methods: The medical records of 96 patients with infantile esotropia and partially accommodative esotropia who underwent bilateral medial rectus muscle recession by functional equator-considering and Parks’ methods were reviewed retrospectively. The surgery success rate at 1 month, 3 months, 6 months and 12 months was compared by the deviation angle measurement. Results: Overall success rates were not statistically different between the 2 groups. Additionally, there were no differences in surgical success rate of functional equator-considering and Parks’ methods in infantile esotropia and partially accommodative esotropia. When the patients were divided into 2 groups based on 40 PD, no significant difference in success rate between the 2 groups was observed. When patients were divided into 2 groups based on 22 mm of axial length, there was no statistical difference observed. Postoperative overcorrection was 2 (4%) in the functional equator group and 3 (6.5%) in Parks’ method group and postoperative undercorrection was 9 (18%, 19.6%) in each group. The incidence of undercorrection in the Parks’ method group was significantly higher in the greater than 22 mm axial length group (7, 35.0%) than in the less than 22 mm group (2, 7.7%) (p = 0.029). Conclusions: There was no statistically significant difference in surgical success rate between the functional equator and Parks’ methods in infantile esotropia and partially accommodative esotropia. J Korean Ophthalmol Soc 2012;53(1):138-144

키워드

Esotropia, Functional equator, Medial rectus recession