바골리니렌즈검사와 워트4등 및 원거리입체시검사간의 연관성과 이에 따른 간헐외사시의 수술 결과
The Relationship Between Bagolini Test and Other Sensory Tests and Surgical Outcome of Intermittent Exotropia
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목적: 간헐외사시에서 수술 직전 바골리니렌즈검사로 검사한 망막 대응에 따른 수술결과의 관련성 및 바골리니렌즈검사와 워트4등및 원거리 B-VAT검사간의 연관성을 알아보았다. 대상과 방법: 간헐외사시환자 114명을 대상으로 수술 전에 바골리니렌즈검사, 워트4등 및 원거리 B-VAT검사를 시행하여 이에 따른6개월째의 수술결과를 분석하고 바골리니렌즈검사 결과와 워트4등 및 원거리 B-VAT검사결과 간에 연관성을 알아보았다. 결과: 수술 후 5PD 이내의 내사시나 10PD 이내의 외사시인 경우를 수술 성공으로 간주하였을 때 수술 전 융합상태나 입체시에 따른수술결과를 비교 시 통계적 유의성은 없었으나(p=0.38, p=0.59), 바골리니렌즈검사결과 정상망막대응을 보인 경우가 이상망막대응이나 억제를 보인 경우보다 수술성공률이 유의하게 높았다(p<0.01). 또한 수술 직전 바골리니렌즈검사결과는 워트4등 및 원거리 B-VAT 검사결과와 유의한 상관관계가 있었다(p<0.01, p<0.01). 결론: 수술 직전의 바골리니렌즈검사는 수술 성공을 예측할 수 있는 인자이며 수술 전 워트4등 및 원거리 B-VAT검사결과와 상관관계가 있었다.
Abstract
Purpose: To determine the surgical outcome of intermittent exotropia according to preoperative retinal correspondence with the Bagolini striated glasses test and the relationships between the Worth-4-dot test or stereoacuity with the B-VAT test. Methods: We analyzed retrospectively preoperative fusion statuses with the Worth-4-dot test, stereoacuity with the B-VAT test and retinal correspondence with the Bagolini striated glasses test to determine any possible relationships with surgical outcome. The surgical outcome and binocular function were further investigated six months postoperatively in 114 patients who had undergone surgery for intermittent exotropia. Results: The surgical outcome according to preoperative fusion status and stereoacuity was not statistically significant(p=0.38,p=0.59). whereas, preoperative retinal correspondence with the Bagolini striated glasses test was statistically significant(p<0.01). More over there was a relationship between retinal correspondence and fusion status or stereoacuity(p<0.01, p<0.01). Conclusions: The preoperative Bagolini striated glasses test was the factor predicting a favorable surgical outcome and there was a relationship between the preoperative Worth-4-dot test and the B-VAT test.
참고문헌 (17)
- von Noorden GK, "Binocular vision and ocular motility. Therapyand management of strabismus 5th ed", pp.341~359 (1996), CV Mosby
- Raquel B, "The role of stereopsis and early postoperative alignment in long-term surgical results of intermittent exotropia", Can J Ophthalmol, 29, pp.119~124 (1994)
- Yildirim C, "Assessment of central and peripheral fusion and near and distance stereoacuity in intermittent exotropic patients before and after strabismus surgery", Am J Ophthalmol, 128, pp.222~230 (1999)
- Yeo SI, "Surgical results according to sensory function tests in intermittent exotropia", J Korean Ophthalmol Soc, 40, pp.3174~3179 (1999)
- 허남홍, "양안시기능과 간헐외사시 수술결과와의 관계", 대한안과학회지, 42(11), pp.1588~1593 (2001), 대한안과학회
- Parks MM, "Biocular vision. In Duane's Clinical Ophthalmology, revised ed", pp.5~ (1993), JB Lippincott
- Preito-diaz J, "Strabismus, 5th ed", pp.24~26 (2000), Butterworth-Heinemann
- Ohtsuki H, "Prism adaptation response is useful for predicting surgical outcome in selected types of intermittent exotropia", Am J Ophthalmol, 131, pp.117~122 (2001)
- Forrer HT, "Retinal correspondence in intermittent exotropia. In Orthoptics: past, present, future", pp.547~549 (1976), Stratton Inter-continental Medical Books
- Colenbrander MC, "The limits of stereoscopic vision", Ophhalmologica, 115, pp.363~366 (1948)
- Yildirim C, "Assessment of central and peripheral fusion and near and distance stereoacuity in intermittent exotropic patients before and after strabismus surgery", Am J Ophthalmol, 128, pp.222~230 (1999)
- Han JH, "Amblyopia and sensory fusional anomaly in intermittent exotropia", Korean Ophthalmol Soc, 41, pp.495~499 (2000)
- Umazume F, "Predictors of postoperative binocularity in adult strabismus", Jpn J Ophthalmol, 41, pp.414~421 (1997)
- Ko KH, "Factors related to surgical results of intermittent exotropia", J Korean Ophthalmol Soc, 37, pp.179~184 (1996)
- Lee SY, "Evaluation of factors influencing stereoacuity in exodeviation", J Korean Ophthalmol Soc, 40, pp.538~543 (1999)
- 정태선, "간헐외사시에서 단안 내직근절제 및 외직근후전술의 수술성공인자", 대한안과학회지, 47(12), pp.1987~1992 (2006), 대한안과학회
- Bielschowsky A, "Divergence excess", Arch Opthalmol, 12, pp.157~166 (1934)