Journal of the Korean Ophthalmological Society 1992;33(5):512-518.
Published online May 1, 1992.
Hang-back Recession.
Jong Bok Lee, Chan Yun Kim, Hong Bok Kim
Department of Ophthalmology, Yonsei University College of Medicine, Seoul, Korea.
Hang - back 봉합법에 의한 근후전술
이종복(Jong Bok Lee),김찬윤(Chan Yun Kim),김홍복(Hong Bok Kim)
Abstract
Recently hang-back recession is chosen instead of conventional recession to get better result in strabismus surgery. Jampolsky method, a popular method of hang-back recession, has some draw-backs; the extraocular muscle width can be decreased, the center of the muscle can be sagging posteriorly, and the amount of recession can be somewhat shortened than expected in operation. Accordingly, we devised a new modified hang-back recession and compared with Jampolsky method. Two months after respective operation in 7 albino rabbits, the width of the muscle comparing to preoperative condition, the amount of recession, and the sagging of middle part of the muscle were evalvated in comparison with the preoperative findings. The width of muscles was significantly shortened in Jampolsky method in comparison with preoperative condition (p<0.05), but not in our new method (p>0.05). The amount of recession by Jampolsky method was significantly shortened than expected in operation (p<0.05), but not by our new method (p>0.10). The significant sagging of the muscle was found with Jampolsky method (p<0.05), but not with our modified method (p>O.lO). In review of these findings, our new method is devoid of some draw backs of Jampolsky method.
Key Words: Hang-back recession;Jampolsky method;New technique;Sagging
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