15세이상 간헐외사시의 임상특징과 수술성적

Other Titles
The Clinical Characteristics and Surgical Results in the Intermittent Exotropia more than 15 Years of Age
Authors
이세엽오준섭김상진
Department
Dept. of Ophthalmology (안과학)
Citation
대한안과학회지, Vol.38(6) : 1056-1063, 1997
ISSN
0378-6471
Abstract
We analyzed preoperative clinical characteristics, incidence of amblyopia,surgical results according to the type, resolution of preoperative symptoms and postoperative complications in 62 patients with intermittent exotropia,who were more than 15 years of age. The most frequent preoperative annoying symptom was eye strain from fatigue(40%), and the next one was cosmesis(23%). But, diplopia(14%) was relatively infrequent presenting complaint. Among 62 patients, 45 (72%) patients had equal vision, and 11 patients (18%) had amblyopia with two line difference between two eyes. The overall surgical success rate were seventy-seven percent. The 3 patients with postoperative esodeviation more than 5 prism diopters(PD) showed persistent uncrossed diplopia. The 4 patients with undercorrection more than 15 PD did not improve symptomatically. All patients with`postoperative exodeviation less than 15 PD had improvement or resolution of the symptoms. Our results suggest that overcorrection often resulted in unexpected diplopia in adults with intermittent exotropia. Therefore, it may be desirable to make undercorrection within 15 PD or orthotropic state in the patients more than 15 years of age(J Korean Ophthalmol Soc 38:1056~1063, 1997).
15세이상의 성인 간헐외사시 62명을 대상으로 술전 임상특징과 약시의 빈도, 간헐외사시 형태에 따른 수술성적, 술후 교정정도에 따른 술전증상의 회복유무 및 합병증 등을 알아 보았다. 술전 증상으로는 근업과 관계된 눈피로가 40%로서 가장 많았고, 미용적인 것이 23%, 복시는 14%를 차지하였다. 술전 교정시력은 72%(45명)에서 양안이 같았으며 18%(11명)에서는 시력표상 2줄이상 차이의 약시를 나타내었다. 간헐외사시의 형태에 따른 수술의 성공율은 77%이었으며 술후 5PD이상 과교정된 3명에서 지속적인 비교차성 복시를 호소하였다. 15PD이상 부족 교정된 4명에서 술전에 있었던 증상을 그대로 호소하였으나 15PD이내로 부족교정된 경우는 대부분 술전 증상의 완화 혹은 소실이 있었다. 이상의 결과로 성인 간헐외사시에서 과교정시 기대치 못한 복시를 호소할 수 있으므로 정위 혹은 15PD이내로 부족교정시키는 것이 좋으리라 생각된다(한안지 38:1056~1063, 1997).
URI
http://kumel.medlib.dsmc.or.kr/handle/2015.oak/37233
Appears in Collections:
1. Journal Papers (연구논문) > 1. School of Medicine (의과대학) > Dept. of Ophthalmology (안과학)
Keimyung Author(s)
이세엽; 오준섭
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