간헐외사시에서 외직근 후전 후의 속발내사시

• 영문명: Consecutive Esotropia after Lateral Rectus Muscle Recession for Intermittent Exotropia
• 발행기관: 대한안과학회
• 저자명: 나경익 이주연,Kyeong Ik Na, MD, Joo Yeon Lee, MD, PhD
• 간행물 정보: 『대한안과학회지』Ophthalmological Society,volume53,number9, 1318~1323쪽, 전체 6쪽
• 주제분류: 의약학 > 기타의약학
• 파일형태: PDF
• 발행일자: 2012.09.15

영문 초록

Purpose: To evaluate the progress and outcome of consecutive esotropia after surgery for intermittent exotropia. Methods: The authors investigated the risk factors, changes in the angle of esodeviation and treatment outcome in consecutive esotropia after lateral rectus muscle recession for intermittent exotropia in 196 patients. Results: Consecutive esotropia occurred in 25 patients (12.8%). The patients underwent more frequent combined muscle surgeries on vertical and oblique muscles (p = 0.001) and had a greater amount of immediate postoperative overcorrection than subjects without consecutive esotropia. There was no significant difference with the incidence of overcorrection greater than 17 PD between the 2 groups with and without consecutive esotropia. There was no difference with the immediate postoperative overcorrection between the 6 cases that required surgery for their consecutive esotropia and the cases that recovered from their consecutive esotropia with conservative treatment. The former showed increasing esodeviation and maximum angle at average postoperative month 29.5. In the latter, esodeviation tended to decrease and showed maximum angle at average postoperative month 4.3. Finally, esotropia disappeared and good stereoacuity was obtained in both cases. Conclusions: Although subjects with consecutive esotropia had a greater immediate postoperative overcorrection than subjects without consecutive esotropia, the progress and outcome of consecutive esotropia following the initial overcorrection were not predictable. Consecutive esotropia after surgery for intermittent exotropia showed good overall outcome and well‐preserved stereoacuity after treatment. J Korean Ophthalmol Soc 2012;53(9):1318-1323

키워드

Consecutive esotropia, Intermittent exotropia