Long-term Results of Slanted Recession of Bilateral Lateral Rectus Muscle for Intermittent Exotropia with Convergence Insufficiency
2
조회
0
다운로드
1
인용
0
참고문헌
키워드
초록
Purpose: To evaluate the long-term efficacy of slanted lateral rectus recession in children for reducing distanceand near exodeviation and near-distance deviation difference in intermittent exotropia with convergence insufficiency. Methods: The medical records of 53 patients with convergence insufficiency intermittent exotropia who underwentslanted bilateral lateral rectus recession performed by a single surgeon and received follow-up formore than 12 months were retrospectively analyzed. Deviation angles at 1 day, 1 week, 1 month, 3 months,6 months, and 12 months postoperatively and on the last visit were reviewed. Surgical success was definedas postoperative residual distance and near deviation angles ≤8 prism diopters and a difference between thenear and distance angles ≤8 prism diopters. Results: The mean duration of follow-up was 24 months (range, 12 to 61 months). On the last visit, the residualdeviation angles were ≤8 prism diopters in 75.5% for distance, 62.3% for near, and 81.1% for the near-distancedifference. Surgical success was achieved in 31 (58.5%) patients, and none of them manifested limitations ineye movements or diplopia at the last follow-up visit. Conclusions: Slanted lateral rectus recession is an effective surgical method for reducing distance and nearexodeviation and near-distance deviation difference in intermittent exotropia with convergence insufficiency.
Abstract
Purpose: To evaluate the long-term efficacy of slanted lateral rectus recession in children for reducing distanceand near exodeviation and near-distance deviation difference in intermittent exotropia with convergence insufficiency. Methods: The medical records of 53 patients with convergence insufficiency intermittent exotropia who underwentslanted bilateral lateral rectus recession performed by a single surgeon and received follow-up formore than 12 months were retrospectively analyzed. Deviation angles at 1 day, 1 week, 1 month, 3 months,6 months, and 12 months postoperatively and on the last visit were reviewed. Surgical success was definedas postoperative residual distance and near deviation angles ≤8 prism diopters and a difference between thenear and distance angles ≤8 prism diopters. Results: The mean duration of follow-up was 24 months (range, 12 to 61 months). On the last visit, the residualdeviation angles were ≤8 prism diopters in 75.5% for distance, 62.3% for near, and 81.1% for the near-distancedifference. Surgical success was achieved in 31 (58.5%) patients, and none of them manifested limitations ineye movements or diplopia at the last follow-up visit. Conclusions: Slanted lateral rectus recession is an effective surgical method for reducing distance and nearexodeviation and near-distance deviation difference in intermittent exotropia with convergence insufficiency.
참고문헌 (23)
- Burian HM, "Exodeviations : their classification, diagnosis and treatment", Am J Ophthalmol, 62, pp.1161~1166 (1966)
- Kushner BJ, "Distance", near differences in intermittent exotropia, 1998, pp.116, 478~486
- Snir M, "Slanted lateral rectus recession for exotropia with convergence weakness", Ophthalmology, 106, pp.992~996 (1999)
- Raab EL, "Recession of the lateral recti : effect of preoperative fusion and distance-near relationship", Arch Ophthalmol, 93, pp.584~586 (1975)
- von Noorden GK, "Resection of both medial rectus muscles in organic convergence insufficiency", Am J Ophthalmol, 81, pp.223~226 (1976)
- Choi MY, "The long-term result of slanted medial rectus resection in exotropia of the convergence insufficiency type", Eye(Lond), 20, pp.1279~1283 (2006)
- Choi MY, "Unilateral recession-resection in children with exotropia of the convergence insufficiency type", Eye(Lond), 21, pp.344~347 (2007)
- Choi DG, "Medial rectus resection(s)with adjustable suture for intermittent exotropia of the convergence insufficiency type", J AAPOS, 5, pp.13~17 (2001)
- Wang B, "Comparison of different surgery procedures for convergence insufficiency-type intermittent exotropia in children", Br J Ophthalmol, 98, pp.1409~1413 (2014)
- Ma L, "Bilateral lateral rectus muscle recession for the convergence insufficiency type of intermittent exotropia", J AAPOS, 20, pp.194~196 (2016)
- Farid MF, "Surgical outcomes of three different surgical techniques for treatment of convergence insufficiency intermittent exotropia", Eye(Lond), 32, pp.693~700 (2018)
- Haldi BA, "Surgical management of convergence insufficiency", Am Orthopt J, 28, pp.106~109 (1978)
- Kushner BJ, "Exotropic deviations : a functional classification and approach to treatment", Am Orthopt J, 38, pp.81~93 (1988)
- Scott AB, "Strabismus muscle forces and innervation", Basic mechanism of ocular motility and their clinical implications: proceedings of the International Symposium Held in Wenner-Gren Center, pp.181~191 (1974), Pergamon Press
- Kraft SP, "Unilateral surgery for exotropia with convergence weakness", J Pediatr Ophthalmol Strabismus, 32, pp.183~187 (1995)
- 송인제, "근거리‐원거리 사시각 불일치를 보인 외사시에서 양안 외직근 근경사후전술의 효과", 대한안과학회지, 53(2), pp.311~315 (2012), 대한안과학회
- Chun BY, "Early results of slanted recession of the lateral rectus muscle for intermittent exotropia with convergence insufficiency", J Ophthalmol, 2015, pp.380467~ (2015)
- Kushner BJ, "Insertion slanting strabismus surgical procedures", Arch Ophthalmol, 129, pp.1620~1625 (2011)
- 박재성, "눈모음부족형 외사시에서 근경사부착술을 이용한 단안 외직근 후전술의 효과", 대한안과학회지, 48(8), pp.1112~1118 (2007), 대한안과학회
- Ruttum MS, "Initial versus subsequent postoperative motor alignment in intermittent exotropia", J AAPOS, 1, pp.88~91 (1997)
- Raab EL, "Recession of the lateral recti. Early and late postoperative alignments", Arch Ophthalmol, 82, pp.203~208 (1969)
- Cho YA, "Postoperative minimal overcorrection in the surgical management of intermittent exotropia", Br J Ophthalmol, 97, pp.866~869 (2013)
- 안종호, "Long-term Surgical Outcomes of Initial Postoperative Overcorrection in Adults with Intermittent Exotropia", Korean Journal of Ophthalmology, 32(3), pp.228~233 (2018), 대한안과학회[DOI]