외사시 수술 3년 후 결과 분석

• 영문명: Three-Year Surgical Outcome of Exotropia
• 발행기관: 대한안과학회
• 저자명: 조수창 양희경 황정민,Soo Chang Cho, MD, Hee Kyung Yang, MD,, Jeong Min Hwang, MD, PhD,
• 간행물 정보: 『대한안과학회지』Ophthalmological Society,volume53,number11, 1674~1679쪽, 전체 6쪽
• 주제분류: 의약학 > 기타의약학
• 파일형태: PDF
• 발행일자: 2012.11.15

영문 초록

Purpose: To investigate surgical results (≥3 years) for exotropia and factors associated with the outcome. Methods: Clinical records of 259 patients who underwent surgery for exotropia and had 3 or more years of follow-up were retrospectively reviewed. Surgical success was defined as esodeviation less than 5 prism diopters (Δ), orthophoria, or exodeviation less than 10Δ on the third year after operation. Overcorrection was defined as esodeviation greater than 5Δ and recurrence as exodeviation greater than 10Δ. Both overcorrection and recurrence were considered as surgical failure. Factors including age at surgery, gender, preoperative refractive errors, preoperative stereopsis, preoperative maximum deviation, type of surgery, and alignment at postoperative week 1 were investigated. Results: Out of 259 patients, 155 patients (59.8%) achieved surgical success, 19 patients (7.3%) showed overcorrection and 85 patients (32.8%) had recurrence. Out of 44 patients (17.0%) who underwent reoperation, 2 patients showed overcorrection and 42 patients had recurrence. Alignment at postoperative week 1 was the only significant factor affecting the surgical results. The type of surgery was the only significant factor associated with reoperation after failure of the initial surgery. Conclusions: Alignment at postoperative week 1 was the only significant factor affecting surgical results. The type of surgery was the only significant factor associated with reoperation.

키워드

Exotropia, Surgical outcome