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하사근약화술 후 안구회선의 교정효과

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Author(s)
심지훈이세엽
Keimyung Author(s)
Lee, Se Youp
Department
Dept. of Ophthalmology (안과학)
Journal Title
대한안과학회지
Issued Date
2005
Volume
46
Issue
6
Abstract
Purpose: To examine changes in ocular torsion after the weakening procedure for the inferior oblique muscle in patients with overaction of inferior oblique muscle (IOOA).
Methods: Twenty-eight eyes that had undergone the graded IO anteriorization combined with recession were evaluated. Twelve eyes from 11 patients had IOOA due to superior oblique muscle palsy (SOP) and 16 eyes from 9 patients had primary IOOA. Fundus photograph was taken to examine changes in torsional deviation before and after surgery.
Results: The average torsional deviation decreased from +17.5±7.3˚ before surgery to +6.4±5.8˚ after surgery, with the amount of correction being 11.1˚. It was corrected by 12.6, from +19.1±7.7˚ to +6.5±4.8˚, in patients with SOP, and by 10˚, from +16.3±6.9˚ to +6.3±6.6˚, in patients with IOOA (p<0.05).
Conclusions: About 11˚ excyclotorsional correction was observed in patients with IOOA after IO anteriorization combined with recession.
목적 : 하사근기능항진이 있는 환자에서 하사근약화술 후 안구의 회선 변화를 알아보고자 하였다.
대상과 방법 : 상사근마비에 의한 하사근기능항진 11명 12안, 일차 하사근기능항진만을 보인 9명 16안, 총 28안을 대상으로 단계적인 하사근후전술을 동반한 전치술을 시행하여 이들 수술이 안구의 외회선에 미치는 영향을 알아보기위하여 안저사진을 촬영하였다.
결과 : 전체 환자의 외회선 각도는 술전 평균 +17.5˚에서 술후 +6.4˚로 감소하여 교정량은 11.1˚였다. 상사근마비환자의 경우는 평균 +19.1˚에서 +6.5˚로 12.6˚ 교정되었으며, 일차 하사근기능항진 환자의 경우는 평균 +16.3˚에서 +6.3˚로 10˚ 교정되었다(p<0.05).
결론 : 하사근기능항진 환자에서 하사근후전술을 동반한 전치술 후 약 11˚의 외회선 교정효과를 볼 수 있었다.
Alternative Title
The Effect of Inferior Oblique Weakening Procedures on the Correction of Ocular Torsion
Keimyung Author(s)(Kor)
이세엽
Publisher
School of Medicine
Citation
심지훈 and 이세엽. (2005). 하사근약화술 후 안구회선의 교정효과. 대한안과학회지, 46(6), 1020–1026.
Type
Article
ISSN
0378-6471
URI
https://kumel.medlib.dsmc.or.kr/handle/2015.oak/38062
Appears in Collections:
1. School of Medicine (의과대학) > Dept. of Ophthalmology (안과학)
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