사시각이 큰 부분조절내사시에서의 수술 결과

• 영문명: The Surgical Outcome of Partially Accommodative Esotropia with a Large Angle of Deviation
• 발행기관: 대한안과학회
• 저자명: 서정훈 노인호 최미영,Jeong Hun Seo, M.D., In Ho Roh, M.D., Mi Young Choi, M.D.
• 간행물 정보: 『대한안과학회지』Ophthalmological Society,volume48,number7, 942~949쪽, 전체 8쪽
• 주제분류: 의약학 > 기타의약학
• 파일형태: PDF
• 발행일자: 2007.07.31

영문 초록

Purpose: To investigate the surgical outcome of patients with partially accommodative esotropia with a large angle of deviation. Methods: Twenty-one patients with partially accommodative esotropia that had angles of deviation of at least 40 prism diopters without correction, were retrospectively studied. They underwent standard surgery, for which the amount of recession was based on the average of the distance and near deviation with correction. The angle of deviation were evaluated at postoperative 3 months and at the last follow-up, and the Titmus test and Worth 4-dot test were performed after surgery. Results: The mean angle of deviation without correction at the first examination was 57.0PD, and the mean age of correction with glasses was 2.6 years. The mean angle of deviation with correction was 31.4PD. The mean age at surgery was 4.4 years. The mean follow-up period was 5.4 years. At 3 months postoperatively, 66.7%, 28.6%, and 4.8% of patients showed acceptable correction, undercorrection, and overcorrection, respectively. At the last visit, undercorrection decreased while overcorrection increased (66.7%, 23.8%, 9.5%). Titmus stereotest showed in positive results with more than 800 seconds of arc in 9 of 16 patients. A Worth 4-dot test resulted in a fusion response at far or at near in 4 of 17 patients. Conclusions: In partially accommodative esotropia with a large angle of deviation (at least 40PD without correction), the results of conventional surgery were relatively fair, while the prognosis of sensory function was poor.

키워드

Accommodative esotropia, Large angle of deviation, Stereoacuity