Journal of the Korean Ophthalmological Society 1998;39(2):388-392.
Published online February 1, 1998.
Consecutive Esotropia after Surgery for Intermittent Exotropia.
Young Bae Roh, Ju Rak Lee
Department of Ophthalmology, College of Medicine, Pusan National University, Pusan, Korea.
간헐외사시 수술후 발생한 속발내사시
노영배(Young Bae Roh),이주락(Ju Rak Lee)
Abstract
We evaluated retrospectively the clinical characteristics of 10 esotropic patients following surgery for intermittent exotropia. The nonoperative group(NG) comprised of 5 patients with esodeviation under 16PD and the operative group(OG) of 5 patients with the angle of 18PD or more. The associated condition was one case of myopic anisometropia in the NG. In the OG, there were inferior oblique overactions in three cases and high myopia or amblyopia in two cases. The mean esodeviation at early stage was 11.8PD and 7.8PD at final stage in the NG. 4 of 5 patients showed good alignment within 10PD. In the OG, the mean early esodeviation and final deviation were 11.6PD and 19.2PD respectively. Three patients showed orthotropia in the early stage, and 2 patients revealed orthotropia in the final stage. There were no significant differences in achieving fusion and steropsis between the two groups. The results suggest that the degree of deviation and associated ocular conditions will influence the choice of therapy. We think that there will be no problem in the recovery of binocular visual function after surgery for consecutive esotropia.
Key Words: Consecutive esotropia;Nonoperative;Operative


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