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정태선,박상우,박영걸,Tae Sun Jeong,M,D,Sang Woo Park,M,D,Yeoung Geol Park,M,D 대한안과학회 2007 대한안과학회지 Vol.48 No.5
Purpose: To know the surgical effect and the indication of posterior fixation suture in incomitant strabismus. Methods: From January 2003 to October 2004, posterior fixation sutures were used in five patients with strabismus after orbital wall fracture and in three patients with high AC/A accommodative esotropia. Using Worth 4-dot tests, we compared the amount of incomitant deviation before and after surgery. Results: The mean decrease in deviation after surgery was 7.8±2.6PD(P=0.04) in patients with strabismus after orbital wall fracture, and 11.3±4.2PD in those with high AC/A ratio accomodative esotropia. Conclusions: The posterior fixation suture was effective in reducing the amount of incomitant deviation occurring in cases of strabismus after orbital wall fracture and cases of high AC/A accommodative esotropia.
박상우,정태선.Sang Woo Park. M.D.. Tae Sun Jeong. M.D. 대한안과학회 2006 대한안과학회지 Vol.47 No.6
Purpose: To investigate changes in the unoperated eye of patients who underwent unilateral surgery for asymmetrical dissociated vertical deviation. Methods: We performed superior rectus recession and inferior oblique anterior transposition in the case of asymmetrical dissociated vertical deviation, and lateral rectus recession in the case of dissociated horizontal deviation. We excluded patients having a history of previous operation on the vertical rectus muscles, oblique muscle in the unoperated eye, nystagmus, neurologic problems, and imprecise measurement of deviation angle. Changes in the unoperated eyes of 11 patients who underwent unilateral surgery to correct asymmetrical dissociated vertical deviation in the other eye, from May 2003 to April 2004 were analyzed retrospectively at 1 year postoperative. Results: Not all cases of preoperative latent dissociated vertical deviation manifested such deviation in the unoperated eye postoperatively. Conclusions: Unilateral surgery is an effective treatment in patients with asymmetrical dissociated vertical deviation and does not affect the unoperated eye.