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Surgical Results of Patients With A-Pattern Horizontal Strabismus

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Affiliated Author(s)
이세엽
Alternative Author(s)
Lee, Se Youp
Journal Title
Journal of American Association for Pediatric Ophthalmology and Strabismus
ISSN
1091-8531
Issued Date
2003
Abstract
Purpose: To investigate the surgical results of patients having horizontal strabismus with A-pattern associated
with superior oblique overaction (SOOA). Methods: Twenty patients with horizontal strabismus (12 exotropia [XT]
and 8 esotropia [ET] with no previous strabismus surgery) with SOOA-associated A-pattern were analyzed
retrospectively. Motor success was defined as a horizontal deviation of 8 prism diopters (PD) or less, 6 PD or less
of vertical deviation in all gazes, and no greater than 8 PD of A-pattern. Stereoacuity was measured using the
Titmus test (Stereo Optical, Chicago, IL). Results: Sixty percent of patients had successful results at the final
examination. No significant difference was found between the XT and ET patients in preoperative and postoperative
horizontal deviations in the primary position, A-pattern collapse, or success rate (P > .05). Four patients
had an induced postoperative vertical deviation. Among eight patients without stereoacuity preoperatively, four
showed an average of 910 seconds of arc (40 to 3000 seconds of arc) after surgery. Conclusion: Simultaneous
surgery on the horizontal and SO muscles in patients with horizontal strabismus with SOOA-associated A-pattern
can achieve a relatively high surgical success rate and restore binocular function.
Department
Dept. of Ophthalmology (안과학)
Publisher
School of Medicine
Citation
Se Youp Lee and Arthur L. Rosenbaum. (2003). Surgical Results of Patients With A-Pattern Horizontal Strabismus. Journal of American Association for Pediatric Ophthalmology and Strabismus, 7(4), 251–255. doi: 10.1016/S1091-8531(03)00115-0
Type
Article
ISSN
1091-8531
DOI
10.1016/S1091-8531(03)00115-0
URI
https://kumel.medlib.dsmc.or.kr/handle/2015.oak/33934
Appears in Collections:
1. School of Medicine (의과대학) > Dept. of Ophthalmology (안과학)
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