J Korean Ophthalmol Soc > Volume 56(2); 2015 > Article
Journal of the Korean Ophthalmological Society 2015;56(2):249-253.
DOI: https://doi.org/10.3341/jkos.2015.56.2.249    Published online February 15, 2015.
Effect of Inferior Oblique Weakening Procedures Combined with Surgery for Intermittent Exotropia.
Jong Hoon Shin, Hae Jung Paik
1Department of Ophthalmology, Gachon University School of Medicine, Incheon, Korea.
2Department of Ophthalmology, Gachon University Gil Hospital, Incheon, Korea. hjpaik@gilhospital.com
병행 하사근 약화술이 간헐외사시의 외직근 후전술의 결과에 미치는 영향
신종훈1⋅백혜정2
가천대학교 의학전문대학원 안과학교실1, 가천대학교 길병원 안과2
Abstract
PURPOSE
To investigate whether combining inferior oblique weakening procedures with bilateral lateral rectus recession as a surgical approach to intermittent exotropia enhances postoperative horizontal angle of deviation over bilateral lateral rectus recession alone. METHODS: Patients were allocated to one of two surgical groups: a bilateral lateral rectus recession group (Group 1) or a bilateral lateral rectus recession with bilateral inferior oblique weakening group (Group 2). Group differences in the angle of distance deviation were evaluated preoperatively and at 3- and 12-months postoperatively. RESULTS: There were no significant differences in preoperative factors or angles of deviation between Group 1 (n = 98) and Group 2 (n = 77); no significant intergroup difference in the angle of deviation was observed at any postoperative time point (p > 0.05). CONCLUSIONS: Combined inferior oblique weakening procedures did not significantly influence the horizontal angle of deviation after surgery for intermittent exotropia. Accordingly, there is no need to revise the surgical amount of lateral rectus recession.
Key Words: Combined;Inferior oblique weakening procedures;Intermittent exotropia;Lateral rectus recession;Surgical outcome


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