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학술저널
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대한안과학회 Korean Journal of Ophthalmology Korean Journal of Ophthalmology 제32권 제3호
발행연도
2018.1
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228 - 233 (6page)

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Purpose: To evaluate the relationship between initial postoperative overcorrection and long-term surgical success in exotropia patients. Methods: The medical records of 46 patients who underwent surgery for intermittent exotropia after the age of 18 were enrolled. Enrolled patients also had at least 2 years of postoperative follow-up. Based on the initial postoperative deviation at distance measured by prism and the alternating cover test at 1 week, patients were assigned to one of the following groups: group A included patients who demonstrated any esodeviation, while group B included patients who showed orthophoria to exodeviation of 10 prism diopters. The records were analyzed to determine the preoperative deviation with stereoacuity and postoperative deviations with stereoacuity at the follow-up examinations at the following intervals: 1 week; 1, 3, and 6 months; and 1 and 2 years. A comparison between groups for demographic data and preoperative and postoperative angles of deviation was performed using analysis of variance. Results: Of the 46 patients with intermittent exotropia included in this study, 18 (39%) belonged to group A, while 28 (73%) belonged to group B. The postoperative angle of deviation for distant fixation until 2 years of follow-up showed statistically significant differences in each group (p < 0.003 in all comparisons). The amount of exodrift until 2 years in group A (from -9.7 ± 6.1 to 1.6 ± 3.7) was greater than that in group B (from 2.0 ± 2.7 to 6.8 ± 5.6). The long-term surgical success rate within 2 years of surgery was significantly better in group A than in group B (p = 0.027). The number of patients with intermittent diplopia and the duration of diplopia were greater in group A (n = 8) than in group B (n = 2). Conclusions: Long-term surgical success was achieved in 89% of patients who were initially overcorrected. Overcorrection of an average of 10 prism diopters at the first postoperative week was found to be associated with a more favorable long-term surgical outcome.

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참고문헌 (21)

참고문헌 신청
Ing MR / 1999 / Outcome study of bilateral lateral rectus recession for intermittent exotropia in children / Ophthalmic Surg Lasers 30:110~117 google schola Jampolsky A / 1986 / Treatment of exodeviations / Trans New Orleans Acad Ophthalmol 34:201~234 google schola Beneish R / 1994 / The role of stereopsis and early postoperative alignment in long-term surgical results of intermittent exotropia / Can J Ophthalmol 29:119~124 google schola Clarke WN / 1981 / Surgical results in intermittent exotropia / Can J Ophthalmol 16:66~69 google schola Oh JY / 2006 / Survival analysis of 365 patients with exotropia after surgery / Eye (Lond) 20:1268~1272 Crossref

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