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        수평사시에서 조정수술과 비조정수술의 성공률의 장기적 추적관찰

        최윤정,박성은.Yoon Jung Choy. MD. Sung Eun Park. MD 대한안과학회 2012 대한안과학회지 Vol.53 No.2

        Purpose: To compare the long-term follow-up surgical success rate of adjustable and non-adjustable surgery in horizontal strabismus. Methods: A retrospective analysis was performed. The patients aged 15 years or older who were diagnosed with horizontal strabismus between September 2004 and August 2007 and who underwent at least 6 months of follow-up after surgery were reviewed. Eleven patients (Group A) underwent adjustable surgery, and 20 patients (Group B) underwent non-adjustable surgery. The surgical success rate of 31 patients with 6 months of follow-up were compared. After 2 years, the long-term follow-up surgical success rates of 10 patients in Group A and 12 patients in Group B were compared. Additionally, the changes between deviation angle on postoperative day 1 and final follow-up were compared. Results: The success rates 6 months after surgery was 81.8% in Group A and 85.0% in Group B, a difference that was not statistically significant (p = 0.82). The success rate over 2 years of follow-up after surgery was 80.0% in Group A and 58.3% in Group B, and the difference was not statistically significant (p = 0.28). However, the change in deviation angle was more stable in Group A than in Group B, and standard deviation, skewness, and kurtosis were lower in Group A. Conclusions: After 2 years of follow-up, the success rate of adjustable surgery was higher than the non-adjustable surgery (Group A 80%, Group B 58.3%, p = 0.28). Moreover, in adjustable surgery, the changes in deviation angle were smaller and more stable. J Korean Ophthalmol Soc 2012;53(2):316-322

      • KCI등재

        소아 가성뇌종양에 의한 양안 유두부종 및 시야장애 1예

        최윤정,안영민,박성은,Yoon Jung Choy,MD,Young Min Ahn,MD,Sung Eun Park,MD 대한안과학회 2010 대한안과학회지 Vol.51 No.9

        Purpose: To report a case of bilateral papilledema and visual field defect in pediatric idiopathic intracranial hypertension. Case summary: The 5-year-old female patient was admitted to the hospital, complaining of headache and vomiting of 3 weeks duration. After admission, she complained of diplopia. The uncorrected visual acuity was 0.3 in the right eye and 0.8 in the left. An alternative prism cover test showed approximately 35 PD esotropia, with a -2 abduction limitation of both eyes. Fundus examination showed bilateral papilledema and peripapillary retinal hemorrhages. No abnormality was found in the MRI and CT, symptoms of headache, vomiting, bilateral papilledema, and esotropia with normal neurologic examination. Therefore, she was diagnosed with pediatric idiopathic intracranial hypertension. In Humphrey visual field test, MD was -14.15 dB in right and -16.58 dB in the left eye. Also, the general sensitivity of visual field decreased. Acetazolamide (Diamox®) was given orally for 30 days. Forty-four days after the initial visit, peripapillary retinal hemorrhages and vessel tortuosity decreased. Furthermore, visual acuity improved to 1.0 in the right eye and 0.9 in the left. The esotropia reduced to 5 PD, and MD improved to -4.83 dB in the right eye and -5.24 dB in the left. J Korean Ophthalmol Soc 2010;51(9):1292-1297

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