Relationship between Early Postoperative Stereoacuity and Surgical Outcome in Intermittent Exotropia. |
Eun Jee Kim, Dong Yun Yeon, Suk Gyu Ha, Seung Hyun Kim |
1Department of Ophthalmology, Korea University College of Medicine, Seoul, Korea. ansaneye@hanmail.net 2The 19th Fighter Wing, Aeromedical Squadron, Republic of Korea Air Force, Chungju, Korea. |
간헐외사시 술 후 초기 억제 및 입체시의 회복과 수술결과의 상관성 |
김은지1⋅연동윤2⋅하석규1⋅김승현1 |
고려대학교 의과대학 안과학교실1, 제19 전투비행단 의무대대2 |
Correspondence:
Seung Hyun Kim, Email: ansaneye@hanmail.net |
Received: 12 January 2017 • Revised: 23 February 2017 • Accepted: 17 August 2017 |
Abstract |
PURPOSE To identify the correlation between early postoperative stereoacuity and surgical outcome in intermittent exotropia. METHODS: The medical records of 74 patients who underwent unilateral lateral rectus recession or bilateral lateral rectus recession for intermittent exotropia with a minimum postoperative follow-up of 3 years were retrospectively reviewed. Postoperative stereoacuity was measured using the vectogram test and Titmus test at 1 month post-operative. The deviation angle was measured at near and at distance using a prism cover test. Patients were divided into two groups according to post-operative angle deviation, and stereoacuity was analyzed in both groups. RESULTS: Sixty patients showed no suppression at distance at 1 month post-operative follow-up. Of these, 55 patients (85.9%) belonged to the success group and 5 patients (50.0%) belonged to the recurrence group. The post-operative suppression test and the surgical outcome exhibited a significant association (p = 0.017). 53 patients showed normal stereoacuity 1 month after surgery. Of these, 49 patients (76.6%) belonged to the success group and 4 patients (40.0%) belonged to the recurrence group (p = 0.017). Post-operative stereoacuity and surgical outcome exhibited a significant association (p = 0.026). CONCLUSIONS: Post-operative suppression test results at distance and stereoacuity at near may be helpful in predicting surgical outcomes of patients with intermittent exotropia. |
Key Words:
Intermittent exotropia;Stereoacuity;Surgical outcomes |