현성굴절검사로 추적관찰한 조절내사시에서의 안경중단 예측인자
Predictive Factors of Successful Weaning From Glasses in Accommodative Esotropia Patients
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목적: 현성굴절검사로 추적관찰한 조절내사시 환자에서 성공적인 안경중단을 예측할 수 있는 인자에 대해 알아보고자 하였다. 대상과 방법: 현성굴절검사를 우선적으로 시행하여 원시 도수를 조절한 조절내사시 환자 48명에서 초진 시 연령, 성별 분포, 사시각, 초진 시와 최종 내원 시 평균굴절력, 굴절력의 변화, 내사시 발병연령, 안경착용 시작연령, 약시 동반 여부 등을 후향적으로 조사하였으 며, 이 중 안경을 벗게 된 환자들과 안경 유지가 필요했던 환자들을 비교 분석하였다. 결과: 총 48명의 조절내사시 환자 중 15명이 최종적으로 안경을 벗을 수 있었다. 조절내사시의 발생 연령은 안경을 벗게 된 환자들과 안경 유지가 필요했던 환자들에서 각각 39.6 ± 14.9개월, 30.7 ± 16.9개월로 두 군간의 유의한 차이를 보였으며, 발생 연령이 3세 이상 인 경우에서 안경을 벗을 수 있는 확률이 높았다. 결론: 현성굴절검사를 우선적으로 시행하여 추적관찰하는 것은 조절내사시 환자에서 원시 도수를 낮추어 가는 하나의 방법이 될 수 있으며, 조절내사시의 발생 연령이 3세 이상인 경우 안경을 벗게 될 확률이 높다는 것을 예측할 수 있다.
Abstract
Purpose: To investigate the predictive factors of successfully weaning children from glasses with accommodative esotropia who were monitored with manifest refraction on follow-up visits. Methods: A retrospective review of 48 patients with accommodative esotropia was performed. Weaning was accomplished by monitoring patients with manifest refraction on follow-up visits. The patients were divided into 2 groups: patients who were weaned successfully from glasses and patients who still needed glasses at their final visit. A comparative analysis of the multiple clinical features between the 2 groups was performed. Results: Among the 48 patients, 15 patients were weaned successfully from glasses. The age of onset was significantly different between the 2 groups, 39.6 ± 14.9 months in patients who were weaned successfully from glasses and 30.7 ± 16.9 months in patients who still needed glasses. In particular, the patients with onset of accommodative esotropia after 3 years of age were more likely to be weaned from glasses at their final visit. Conclusions: Monitoring with manifest refraction could be another method of weaning children from glasses with accommodative esotropia and the age of onset appears to be the useful predictor of successful weaning in children who can finally be weaned from glasses.
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