재발된 간헐외사시의 재수술에서 외직근후전 및 내직근절제술과 내직근재절제술의 효과 비교

• 영문명: Unilateral Recession-Resection Versus Re-resection of Medial Rectus in Recurrent Intermittent Exotropia
• 발행기관: 대한안과학회
• 저자명: 김원제 김명미,Won Jae Kim, MD, Myung Mi Kim, MD, PhD
• 간행물 정보: 『대한안과학회지』Ophthalmological Society,volume50,number7, 1088~1092쪽, 전체 5쪽
• 주제분류: 의약학 > 기타의약학
• 파일형태: PDF
• 발행일자: 2009.07.15

영문 초록

Purpose: To compare the surgical outcomes of recession-resection (R&R) on the contralateral eye and medial rectus reresection surgery for recurrent intermittent exotropia in patients who previously underwent unilateral recess-resection. Methods: A retrospective analysis was performed on patients who underwent either R&R on the contralateral eye or medial rectus re-resection surgery for recurrent intermittent exotropia who had unilateral R&R previously with a minimum follow-up period of at least 12 months. Results: Thirty-nine patients underwent contralateral R&R surgery and 13 patients underwent medial rectus re-resection surgery. The satisfactory surgical result was considered between -5 (prism diopters, PD) and +10PD. The success rate of the contralateral R&R group and medial rectus re-resection group was 84.6% and 100% (p=0.317) at postoperative 1 week, 79.5% and 46.2% (p=0.034) at postoperative 6 months, 69.2% and 38.5% (p=0.048) at postoperative 12 months, and 51.3% and 7.7% (p=0.006) at the last follow-up visit. Conclusions: The long-term surgical outcome of R&R surgery on the contralateral eye for the patients with recurrent intermittent exotropia who previously underwent unilateral R&R surgery was significantly better than medial rectus re-resection.

키워드

Recession-resection, Recurrent intermittent exotropia, Re-resection, Surgical outcome