고질적인 외사시 환자에서 안구 뒤눈물능선골막 고정술

• 영문명: Fixation of the Eyeball to the Periosteum Over the Posterior Lacrimal Crest in Inveterate Exotropia
• 발행기관: 대한안과학회
• 저자명: 설보람 곽상인 김성준,Bo Ram Seol, MD, Sang In Khwarg, MD, PhD, Seong-Joon Kim, MD, PhD
• 간행물 정보: 『대한안과학회지』Ophthalmological Society,volume55,number3, 408~415쪽, 전체 8쪽
• 주제분류: 의약학 > 기타의약학
• 파일형태: PDF
• 발행일자: 2014.03.15

영문 초록

Purpose: To report the results obtained after fixation of the eyeball to the periosteum over the posterior lacrimal crest in 5 cases of inveterate exotropia. Methods: From September 2011 to January 2013, 5 patients with inveterate exotropia and a history of surgery for exotropia underwent fixation of the eyeball to the periosteum over the posterior lacrimal crest. Results: The mean preoperative exotropia of 35 ± 10.61 PD changed to esotropia of 5.8 ± 17.28 PD at the one week postoperative visit and exotropia of 13.2 ± 11.34 PD at the final postoperative visit (mean, 6.05 months after surgery). At the final postoperative visit, 2 patients who had ocular adhesion due to trauma showed 25 PD exotropia. None of the patients showed injuries to the lacrimal system, but 2 patients showed conjunctival granuloma. Conclusions: Fixation of the eyeball to the periosteum over the posterior lacrimal crest is an effective approach for the management of inveterate exotropia, except in cases of exotropia combined with ocular adhesion. J Korean Ophthalmol Soc 2014;55(3):408-415

키워드

Inveterate exotropia, Periosteal fixation, Precaruncular