내사시에서 양안 내직근후전술 시 기능적적도부 및 팍스의 수술양을 고려한 군 간 수술성적비교

다국어 초록 (Multilingual Abstract)

Purpose: To compare the surgical outcomes of functional equator-considering and Parks’ methods in infantile esotropia and partially accommodative esotropia. Methods: The medical records of 96 patients with infantile esotropia and partially accommodative esotropia who underwent bilateral medial rectus muscle recession by functional equator-considering and Parks’ methods were reviewed retrospectively. The surgery success rate at 1 month, 3 months, 6 months and 12 months was compared by the deviation angle measurement. Results: Overall success rates were not statistically different between the 2 groups. Additionally, there were no differences in surgical success rate of functional equator-considering and Parks’ methods in infantile esotropia and partially accommodative esotropia. When the patients were divided into 2 groups based on 40 PD, no significant difference in success rate between the 2 groups was observed. When patients were divided into 2 groups based on 22 mm of axial length, there was no statistical difference observed. Postoperative overcorrection was 2 (4%) in the functional equator group and 3 (6.5%) in Parks’ method group and postoperative undercorrection was 9 (18%, 19.6%) in each group. The incidence of undercorrection in the Parks’ method group was significantly higher in the greater than 22 mm axial length group (7, 35.0%) than in the less than 22 mm group (2, 7.7%) (p = 0.029). Conclusions: There was no statistically significant difference in surgical success rate between the functional equator and Parks’ methods in infantile esotropia and partially accommodative esotropia. J Korean Ophthalmol Soc 2012;53(1):138-144

참고문헌 (Reference)

1 박홍용, "사시수술에 있어 안축장과 기능적 적도부에 관한 연구" 대한안과학회 46 (46): 827-836, 2005

2 송지훈, "부분조절내사시에서 양안 내직근 후전술 후 장기 성적" 대한안과학회 45 (45): 18-18, 2004

3 김덕재, "내사시에서 기능적 적도부를 고려한 수술의 결과" 대한안과학회 47 (47): 778-786, 2006

4 Mims JL 3rd, "Verification and refinement of surgical guidelines for infantile esotropia: a prospective study of 40 cases" 4 : 7-14, 1989

5 Kushner BJ, "Variation in axial length and anatomical landmarks in strabismic patients" 98 : 400-406, 1991

6 Kushner BJ, "The influence of axial length on the response to strabismus surgery" 107 : 1616-1618, 1989

7 Woo JM, "The influence of axial length on the response to strabismus surgery" 38 : 680-686, 1997

8 Kushner BJ, "The effect of surgical technique and amount, patient age, abduction quality and deviation magnitude on surgical success rates in infantile esotropia" 2 : 25-40, 1987

9 Nelson LB, "Surgical management of large angle congenital esotropia" 71 : 380-383, 1987

10 Scott WE, "Surgery for large-angle congenital esotropia. Two vs three and four horizontal muscles" 104 : 374-377, 1986

11 Kraft SP, "Surgery for congenital esotropia--an age comparison study" 21 : 57-68, 1984

12 Gillies WE, "Results in 50 cases of strabismus after graduated surgery designed by A scan ultrasonography" 68 : 790-795, 1984

13 Lee JB, "Result of strabismus after graduated surgery designed by A-scan ultrasonography" 28 : 619-622, 1987

14 Szmyd SM, "Large bimedial rectus recessions in congenital esotropia" 69 : 271-274, 1985

15 Kushner BJ, "How far can a medial rectus safely be recessed?" 31 : 138-146, 1994

16 Kushner BJ, "Factors influencing response to strabismus surgery" 111 : 75-79, 1993

17 Mims JL 3rd, "Factors influencing response to strabismus surgery" 111 : 1312-, 1993

18 Grӓf M, "Effect of axial bulbus length and preoperative squint angle on the effect of horizontal combined squint operations" 91 : 62-67, 1994

19 Ing M, "Early surgery for congenital esotropia" 61 : 1419-1427, 1966

20 Stager DR, "Delayed consecutive exotropia following 7-millimeter bilateral medial rectus recession for congenital esotropia" 31 : 147-150, 1994

21 Lee HD, "Clinical analysis of large recession of bimedial rectus muscles in esotropia" 40 : 555-561, 1999

22 Hutcheson KA, "Childhood esotropia" 15 : 444-448, 2004

23 Kowal L, "Botulinum toxin in the treatment of strabismus. A review of its use and effects" 29 : 1823-1831, 2007

24 Ramasamy B, "Bilateral combined resection and recession of the medial rectus muscle for convergence excess esotropia" 11 : 307-309, 2007

25 Hess JB, "A new nationale for the management of large angle esotropia" 16 : 345-348, 1979

26 Tran HM, "A new dose-response curve for bilateral medial rectus recessions for infantile esotropia" 6 : 112-119, 2002

27 Damanakis AG, "8 mm bimedial rectus recession in infantile esotropia of 80-90 prism dioptres" 78 : 842-844, 1994

28 문형진, "40PD 이상의 사시각을 가진 내사시에서 기능적 적도부 후방으로의 내직근 후전의 결과" 대한안과학회 50 (50): 429-434, 2009

29 송영진, "1세 이전과 이후 유아내사시 조기수술의 장기 수술결과" 대한안과학회 44 (44): 22-1383, 2003