수평사시에서 조정수술과 비조정수술의 성공률의 장기적 추적관찰
To Compare Long-Term Follow-Up Adjustable and Non-Adjustable Surgery Success Rates in Horizontal Strabismus Surgery
0
조회
0
다운로드
2
인용
0
참고문헌
키워드
초록
목적: 수평사시 환자에서 조정수술을 시행한 경우와 조정수술을 시행하지 않은 경우의 수술성공률을 장기적으로 비교하였다. 대상과 방법: 2004년 9월부터 2007년 8월까지 수평사시로 진단받은 15세 이상의 환자를 대상으로 하였다. 직근 수술 후 조정수술을시행한 11명(Group A)과 직근 수술만 시행한 20명(Group B)의 수술 후 6개월의 수술성공률과 2년 이상 경과관찰 시 10명(Group A)과12명(Group B)의 수술성공률을 비교하였다. 또한, 수술 후 사시각의 변화량의 추이를 비교하였다. 결과: 수술 후 6개월의 수술성공률은 Group A는 81.8%, Group B는 85.0%로 유의한 차이가 없었고(p=0.82), 수술 후 2년 이상의 장기간 수술성공률도 Group A는 80.0%, Group B는 58.3%로 유의한 차이가 없었으나 Group A의 성공률이 다소 높았다(p=0.28). 사시각의 변화량은 Group A가 Group B보다 표준 편차, 왜도, 첨도가 낮아 안정적이었다. 결론: 수평사시에서 조정수술을 시행한 경우가 조정수술을 시행하지 않은 경우보다 유의한 차이는 아니나(Group A 80%, Group B 58.3%, p=0.28) 2년 이상의 수술성공률이 다소 높았고 사시각의 변화량이 작아 안정적이었다.
Abstract
Purpose: To compare the long-term follow-up surgical success rate of adjustable and non-adjustable surgery in horizontal strabismus. Methods: A retrospective analysis was performed. The patients aged 15 years or older who were diagnosed with horizontal strabismus between September 2004 and August 2007 and who underwent at least 6 months of follow-up after surgery were reviewed. Eleven patients (Group A) underwent adjustable surgery, and 20 patients (Group B) underwent non-adjustable surgery. The surgical success rate of 31 patients with 6 months of follow-up were compared. After 2 years, the long-term follow-up surgical success rates of 10 patients in Group A and 12 patients in Group B were compared. Additionally, the changes between deviation angle on postoperative day 1 and final follow-up were compared. Results: The success rates 6 months after surgery was 81.8% in Group A and 85.0% in Group B, a difference that was not statistically significant (p = 0.82). The success rate over 2 years of follow-up after surgery was 80.0% in Group A and 58.3% in Group B, and the difference was not statistically significant (p = 0.28). However, the change in deviation angle was more stable in Group A than in Group B, and standard deviation, skewness, and kurtosis were lower in Group A. Conclusions: After 2 years of follow-up, the success rate of adjustable surgery was higher than the non-adjustable surgery (Group A 80%, Group B 58.3%, p = 0.28). Moreover, in adjustable surgery, the changes in deviation angle were smaller and more stable.
참고문헌 (24)
- Kang NY, "Current Concepts in Strabismus, 2nd ed", pp.452~454 (2008), Korean Association for Pediatric Ophthalmology and Strabismus
- Kim DS, "The effect of intraoperative adjustable suture strabismus surgery in adult strabismus patients", J Korean Ophthalmol Soc, 38, pp.2056~2063 (1997)
- Chow PC, "Stability of one-stage adjustable suture for the correction of horizontal strabismus", Br J Ophthalmol, 73, pp.541~546 (1989)
- 이종복, "Practical aspects and efficacy of intraoperative adjustment in concomitant horizontal strabismus surgery", JOURNAL OF PEDIATRIC OPHTHALMOLOGY & STRABISMUS, 48(2), pp.85~89, SLACK INC
- Tripathi A, "Strabismus surgery: adjustable sutures-good for all?", Eye (Lond), 17, pp.739~742 (2003)
- Ogüt MS, "Adjustable suture surgery for correction of various types of strabismus", Ophthalmic Surg Lasers Imaging, 38, pp.196~202 (2007)
- 박용철, "Comparison of the Stability of Postoperative Alignment in Sensory Exotropia: Adjustable Versus Non-Adjustable Surgery", Korean Journal of Ophthalmology, 23(4), pp.277~280 (2009), 대한안과학회
- Kraft SP, "Techniques of adjustable suture strabismus surgery", Ophthalmic Surg, 21, pp.633~640 (1990)
- Lueder GT, "Long-term results of adjustable suture surgery for strabismus secondary to thyroid ophthalmopathy", Ophthalmology, 99, pp.993~997 (1992)
- Park HY, "Surgical results of adjustable strabismus surgery in horizontal rectus muscles", J Korean Ophthalmol Soc, 37, pp.1335~1341 (1996)
- Buffenn AN, "Adjustable suture use in strabismus surgery", Curr Opin Ophthalmol, 16, pp.294~297 (2005)
- Scott WE, "Adjustable sutures in strabismus surgery", J Pediatr Ophthalmol, 14, pp.71~75 (1977)
- Budning AS, "The short adjustable suture", Can J Ophthalmol, 45, pp.359~362 (2010)
- Jampolsky A, "Strabismus reoperation techniques", Trans Sect Ophthalmol Am Acad Ophthalmol Otolaryngol, 79, pp.704~717 (1975)
- Keech RV, "Adjustable suture strabismus surgery", J Pediatr Ophthalmol Strabismus, 24, pp.97~102 (1987)
- Weston B, "Stability of the postoperative alignment in adjustable-suture strabismus surgery", J Pediatr Ophthalmol Strabismus, 28, pp.206~211 (1991)
- Wisnicki HJ, "Reoperation rate in adjustable strabismus surgery", J Pediatr Ophthalmol Strabismus, 25, pp.112~114 (1988)
- George ND, "Adjustable sutures: who needs them?", Eye (Lond), 17, pp.683~684 (2003)
- Metz HS, "Adjustable suture strabismus surgery", Ann Ophthalmol, 11, pp.1593~1597 (1979)
- Eino D, "Postoperative drifts after adjustable-suture strabismus surgery", Can J Ophthalmol, 32, pp.163~169 (1997)
- Rosenbaum AL, "Adjustable rectus muscle recession surgery. A follow-up study", Arch Ophthalmol, 95, pp.817~820 (1977)
- Melhuish JA, "The routine use of adjustable sutures in adult strabismus surgery", J R Coll Surg Edinb, 38, pp.134~137 (1993)
- Rauz S, "One stage vertical rectus muscle recession using adjustable sutures under local anaesthesia", Br J Ophthalmol, 80, pp.713~718 (1996)
- 김인태, "프로포폴과 펜타닐을 이용한 조정 사시 수술", 대한안과학회지, 48(11), pp.1522~1526 (2007), 대한안과학회