Augmented Surgery for Partially Accommodative Esotropia.

Kim, Yoo Kyum; Kong, Sang Mook

Original Article

Journal of the Korean Ophthalmological Society 2000;41(11):2401-2407.
Published online November 1, 2000.

Augmented Surgery for Partially Accommodative Esotropia.

Department of Ophthalmology, College of Medicine, Konyang University #156 Youngdeungpo-dong, Youngdeungpo-ku, Seoul, 150-034, Korea.

부분조절내사시의 증량수술법

김유겸(Yoo Kyum Kim),공상묵(Sang Mook Kong)

Abstract

The conventional surgery, based on the nonaccommodative angle after full correction of a hypermetropic refractive error, has resulted in a high incidence of undercorrection in the partially accommodative esotropia. In this study, we compared the conventional surgery group (82 patients)to the augmented surgery group (102 patients)in a total of 184 patients.The follow-up period in each group was at least 6 months. Of the 82 patients in conventional surgery group, 55 (67%)showed postoperative deviations of 10 delta or less, 25 (30%)undercorrection, and 2 (3%)overcorrection.Of the 102 patients in augmented surgery group, 81 (79%)revealed postoperative deviations of 10 delta or less, 9 (9%)undercorrection, and 12 (12%) overcorrection.The deviation was improved toward orthotropia by spectacle reduction of less than +2.0 D in overcorrected patients (2 of 2 in conventional surgery group, and 9 of 12 in augmented group).But 3 patients in augmented surgery group remained overcorrected. Our conclusion is that augmented surgery, even if it increase overcorrection, provides better postoperative alignment than conventional surgery in partially accommodative esotropia.

Key Words: Partially accommodative esotropia;Augmented surgery