Journal of the Korean Ophthalmological Society 1992;33(10):970-976.
Published online October 1, 1992.
Effect of the Superior Oblique Tendon Silicone Expander for Superior Oblique Overaction.
Hye Bin Yim, Chan Park
Department of Ophthalmology, Chtholic University Medical College, Seoul, Korea.
상사근 기능항진에서 Silicone Expander 를 사용한 상사근 건연장술의 효과
임혜빈(Hye Bin Yim),박찬(Chan Park)
Abstract
Authors analysed the surgical results of superior oblique silicone expander for the treatment of superior oblique overaction in 8 patients (15 eyes) who were operated at St Mary's Hospital, Catholic University Medical College from October 1990 to December 1991. The results were as follows: 1. Preoperatively, the patients demonstrated versions of +2 overaction in 6 eyes (40%) and +3 to +4 overaction in 9 eyes (60%), And demonstrated A-patterns between 20 delta to 55 delta with a mean of 33 delta. 2. Postoperatively, of the 9 eyes with +3 to +4 overaction, 6 eyes (66.7%) showed no overaction and 3 eyes (33.3%) had +1 residual overaction. Of the 6 eyes with +2 overaction, 4 eyes (66.7%) showed no residual overaction, while 2 eyes (33.3%) had +1 residual overaction. 3. Postoperatively. reduction of A-pattern was from 16 delta to 51 delta with a mean of 27 delta. Bases on these results, it appears that the silicone expander technique is useful for the treatment of superior oblique overaction.
Key Words: A-pattern;Silicone expander;Superior oblique overaction


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