Consecutive Esodeviation After Exotropia Surgery in Patients Older than 15 Years: Comparison with Younger Patients
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Purpose: The purpose of this study was to investigate the clinical course of esodeviation after exotropia surgery in older patients (older than 15 years) and to compare it with that in younger patients (15 years or younger). Methods: The medical records of all surgeries for exodeviation from December 2004 to February 2007 were reviewed and 82 patients were found with consecutive esodeviation. The patients were divided into two groups according to their age: Group A (patients older than 15 years) and Group B (patients age 15 or younger). The clinical course of esodeviation in Group A was compared to that in Group B by means of survival analysis. Results: The median survival times of the esodeviation were 2.0±0.1 months in Group A and 1.0±0.1 months in Group B (p=0.40). The prevalence of consecutive esotropia at six months was 0% in Group A and 6.1% in Group B (p=0.32). The myopic refractive error, worse sensory condition, and a larger preoperative exodeviation in Group A did not affect the clinical course of the two groups differently. Conclusions: The postoperative esodeviation of patients older than 15 years after exotropia surgery tended to persist longer during the early postoperative period than that of patients 15 years or younger, however, the difference did not persist at postoperative six months.
Abstract
Purpose: The purpose of this study was to investigate the clinical course of esodeviation after exotropia surgery in older patients (older than 15 years) and to compare it with that in younger patients (15 years or younger). Methods: The medical records of all surgeries for exodeviation from December 2004 to February 2007 were reviewed and 82 patients were found with consecutive esodeviation. The patients were divided into two groups according to their age: Group A (patients older than 15 years) and Group B (patients age 15 or younger). The clinical course of esodeviation in Group A was compared to that in Group B by means of survival analysis. Results: The median survival times of the esodeviation were 2.0±0.1 months in Group A and 1.0±0.1 months in Group B (p=0.40). The prevalence of consecutive esotropia at six months was 0% in Group A and 6.1% in Group B (p=0.32). The myopic refractive error, worse sensory condition, and a larger preoperative exodeviation in Group A did not affect the clinical course of the two groups differently. Conclusions: The postoperative esodeviation of patients older than 15 years after exotropia surgery tended to persist longer during the early postoperative period than that of patients 15 years or younger, however, the difference did not persist at postoperative six months.
참고문헌 (16)
- Scott WE, "The postoperative results and stability of exodeviation", Arch Ophthalmol, 99, pp.1814~8 (1981)
- Raab EL, "Recession of the lateral recti. Early and late postoperative alignments", Arch Ophthalmol, 82, pp.203~8 (1969)
- Oh JY, "Survival analysis of 365 patients with exotropia after surgery", Eye, 20, pp.1268~72 (2006)
- Von noorden GK, "Binocular vision and ocular motility, 5th ed", St. Louis Mo: CV Mosby, 1, pp.352~5 (1996)
- Pratt-Johnson JA, "Tillson G. Early surgery in intermittent exotropia", Am J Ophthalmol, 84, pp.689~94 (1977)
- Edelman PM, "Consecutive esodeviation: the what?", Am Orthoptic J, 38, pp.111~6 (1988)
- Son AN, "Clinical study of consecutive esotropia", J Korean Ophthalmol Soc, 31, pp.1328~34 (1990)
- 함이룸, "The clinical course of recurrent exotropia after reoperation for exodeviation", 대한안과학회지, 19(2), pp.140~4 (2005), 대한안과학회
- Abraham SM, "The surgical Management of Intermittent exotropia in Adults", Ophthalmology, 90, pp.1166~71 (1983)
- Parks MM, "Comitant Exodeviations. In: Duane TD, eds. Clinical Ophthalmology", Philadelphia: Harper Row and Company, 1(13) (1990)
- Fletcher MC, "A summary of 1.110 consecutive cases", Am J Ophtalmol, 61, pp.86~94 (1966)
- Clarke WN, "Surgical result in intermittent exotropia", Can J Ophthalmol, 16, pp.66~9 (1981)
- Lee S, "Relationship between motor alignment at postoperative 1 day and year 1 after after symmetric and asymmetric surgery in intermittent exotropia", Jpn J Ophthalmology, 45, pp.1167~71 (2001)
- Dunlap EA, "Overcorrections in exotropia surgery. Symposium on horizontal ocular deviations", pp.1~183 (1971), St. Louis, The C.V. Mosby CO.,
- Keech RV, "The surgical overcorrection of intermittent exotropia", J Pediatr Ophthalmol Strabismus, 27, pp.218~20 (1990)
- Park HS, "A study on the consecutive esotropia after intermittent exotropia surgery", J Korean Ophthlmol Soc, 35, pp.1327~34 (1994)