지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2019.1
- 수록면
- 1 - 11 (11page)
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초록· 키워드
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Background: To describe factors affecting the prognosis after operation for recurrent intermittent exotropia (X[T]) in children. Methods: Clinical records of 50 patients who underwent operation for recurrent X(T) by a single surgeon were reviewed. The age at diagnosis of X(T), and first and second operations, deviation angle at distance and near, surgical method, concurrent vertical strabismus, stereoacuity, and Worth's Four Dot (W4D) examination before reoperation were analyzed, along with the postoperative deviation angle. A successful surgical outcome was defined as orthophoria, esodeviation ≤ 5 prism diopters, or exodeviation ≤ 10 prism diopters at distance. Results: Among the 50 recurrent exotropes who underwent surgery and were followed up for more than 1 year postoperatively, 13 showed recurrent exotropia and 1 showed consecutive esotropia. The mean age at reoperation was 8.49 ± 2.19 years, and the mean duration of postoperative follow-up was 27.78 ± 12.02 months. Good near fusion before reoperation was a significant factor in the success of surgery (P = 0.006). Smaller postoperative deviation angle measured immediately and 2 months after surgery were related to smaller final deviation angle (P = 0.027 and P = 0.022, respectively). Conclusion: Peripheral suppression lowers the success rate of operation for recurrent X(T) in children. Overcorrection rather than orthotropia should be the target of immediate postoperative deviation angle. Peripheral suppression status and immediate and 2-month postoperative deviation angle may be important clues for predicting the final result of operation for recurrent X(T).
목차
등록된 정보가 없습니다.
참고문헌 (25)
참고문헌 신청
Maruo T / 2001 / Intermittent exotropia surgery in children: long term outcome regarding changes in binocular alignment. A study of 666 cases / Binocul Vis Strabismus Q 16(4):265~270
Kushner BJ / 1998 / Selective surgery for intermittent exotropia based on distance/near differences / Arch Ophthalmol 116(3):324~328
Jeoung JW / 2006 / Bilateral lateral rectus recession versus unilateral recess-resect procedure for exotropia with a dominant eye / Am J Ophthalmol 141(4):683~688
Chia A / 2006 / Surgical experiences with two-muscle surgery for the treatment of intermittent exotropia / J AAPOS 10(3):206~211
Wu H / 2006 / Binocular status after surgery for constant and intermittent exotropia / Am J Ophthalmol 142(5):822~826.e2
Kushner BJ / 1998 / Selective surgery for intermittent exotropia based on distance/near differences / Arch Ophthalmol 116(3):324~328
Jeoung JW / 2006 / Bilateral lateral rectus recession versus unilateral recess-resect procedure for exotropia with a dominant eye / Am J Ophthalmol 141(4):683~688
Chia A / 2006 / Surgical experiences with two-muscle surgery for the treatment of intermittent exotropia / J AAPOS 10(3):206~211
Wu H / 2006 / Binocular status after surgery for constant and intermittent exotropia / Am J Ophthalmol 142(5):822~826.e2
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