Journal of the Korean Ophthalmological Society 2000;41(6):1417-1424.
Published online June 1, 2000.
Clinical Study for Risk Factors of Recurrence in Intermittent Exotropia.
Hyun Woong Kim, Jae Wook Yang, In Kun Won
Department of Ophthalmology, Pusan Paik Hospital, In Je University Medical College, Pusan. Korea.
간헐외사시 환자에서 재발에 영향을 미치는 인자에 대한 연구
김현웅(Hyun Woong Kim),양재욱(Jae Wook Yang),원인건(In Kun Won)
Abstract
Exotropic shift is a significant problem in the exotropia.There has been much presumption about factors that affect the surgical outcome of intermittent exotropia such as amblyopia, stereopsis, age at operation, frequency of manifestation, deviation of angle and associated strabismus.The authors compared preoperative and postoperative factors between 36 patients who had second operation because of recurrent exotropia and 30 patients who had satisfactory surgical results.A 'satisfactory surgical result'was defined as a final alignment of orthotropia, esotropia less than 5 prism diopter or exotropia less than 10 prism diopter at postoperative 6 months.Sex, age at operation, angle of deviation, presence of amblyopia, associated hypertropia and type of intermittent exotropia were not different between two groups. Inferior oblique overaction and poor stereopsis were more common in reoperation group (p<0.05).Initial postoperative undercorrection in satisfactory surgical result was also more frequent in reoperation group (p<0.05).
Key Words: Intermittent exotropia;Reoperation;Risk factors of recurrence


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