J Korean Ophthalmol Soc > Volume 50(1); 2009 > Article
Journal of the Korean Ophthalmological Society 2009;50(1):135-138.
DOI: https://doi.org/10.3341/jkos.2009.50.1.135    Published online January 15, 2009.
The Long-Term Effect of Part-Time Occlusion Therapy According to Compliance in Recurrent Intermittent Exotropia.
Sang Kyoon Kim, Sung Tae Yi, Seung Hyun Kim, Yoonae A Cho
1Department of Ophthalmology, College of Medicine, Korea University, Seoul, Korea. ansaneye@hanmail.net
2Department of Ophthalmology, Konkuk University College of Medicine, Seoul, Korea.
재발된 간헐외사시에서 순응도에 따른 부분가림치료의 장기적 효과
김상균1ㆍ이승태2ㆍ김승현1ㆍ조윤애1
Department of Ophthalmology, College of Medicine, Korea University1, Seoul, Korea / Department of Ophthalmology, Konkuk University College of Medicine2, Seoul, Korea
Abstract
PURPOSE
To evaluate the reoperation rate and the change of exo-angle according to compliance level of part time occlusion therapy in recurrent intermittent exotropia. METHODS: This retrospective study included 52 patients of recurrent intermittent exotropia who followed up more than 5 years after their first operation. They were ordered part time occlusion therapy for recurrent exotropia. The patients were divided into 4 groups according to the level of compliance of part time occlusion therapy ('excellent', 'good', 'fair', 'poor'). We evaluated the reoperation rate in 5 years after the first operation and the change of exo-angle from the early recurrent time according to compliance levels. RESULTS: The reoperation rate within 5 years after the first operation of 'excellent' and 'good' compliance groups was lower than that of 'fair' and 'poor' groups (33.3, 26.3, 73.7 and 45.5% respectively) and the degree of exo-angle progression from the early recurrent time of the 'excellent' and 'good' compliance groups was less than that of 'fair' and 'poor' compliance groups, both results of which were statistically significant (p=0.02, 0.03). CONCLUSIONS: Part time occlusion therapy in recurrent intermittent exotropia has good long-term effects of decreasingreoperation rates in patients with a high level of compliance.
Key Words: Intermittent exotropia;Part time occlusion therapy;Recurrent;Reoperation rate


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