Long-term Surgical Outcomes of Initial Postoperative Overcorrection in Adults with Intermittent Exotropia
DC Field | Value | Language |
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dc.contributor.author | 안종호 | - |
dc.contributor.author | 백혜정 | - |
dc.date.available | 2020-02-27T14:43:24Z | - |
dc.date.created | 2020-02-12 | - |
dc.date.issued | 2018-06 | - |
dc.identifier.issn | 1011-8942 | - |
dc.identifier.uri | https://scholarworks.bwise.kr/gachon/handle/2020.sw.gachon/4981 | - |
dc.description.abstract | Purpose: To evaluate the relationship between initial postoperative overcorrection and long-term surgical success in exotropia patients. Methods: The medical records of 46 patients who underwent surgery for intermittent exotropia after the age of 18 were enrolled. Enrolled patients also had at least 2 years of postoperative follow-up. Based on the initial postoperative deviation at distance measured by prism and the alternating cover test at 1 week, patients were assigned to one of the following groups: group A included patients who demonstrated any esodeviation, while group B included patients who showed orthophoria to exodeviation of 10 prism diopters. The records were analyzed to determine the preoperative deviation with stereoacuity and postoperative deviations with stereoacuity at the follow-up examinations at the following intervals: 1 week; 1, 3, and 6 months; and 1 and 2 years. A comparison between groups for demographic data and preoperative and postoperative angles of deviation was performed using analysis of variance. Results: Of the 46 patients with intermittent exotropia included in this study, 18 (39%) belonged to group A, while 28 (73%) belonged to group B. The postoperative angle of deviation for distant fixation until 2 years of follow-up showed statistically significant differences in each group (p < 0.003 in all comparisons). The amount of exodrift until 2 years in group A (from -9.7 ± 6.1 to 1.6 ± 3.7) was greater than that in group B (from 2.0 ± 2.7 to 6.8 ± 5.6). The long-term surgical success rate within 2 years of surgery was significantly better in group A than in group B (p = 0.027). The number of patients with intermittent diplopia and the duration of diplopia were greater in group A (n = 8) than in group B (n = 2). Conclusions: Long-term surgical success was achieved in 89% of patients who were initially overcorrected. Overcorrection of an average of 10 prism diopters at the first postoperative week was found to be associated with a more favorable long-term surgical outcome. | - |
dc.language | 영어 | - |
dc.language.iso | en | - |
dc.publisher | 대한안과학회 | - |
dc.relation.isPartOf | Korean Journal of Ophthalmology | - |
dc.title | Long-term Surgical Outcomes of Initial Postoperative Overcorrection in Adults with Intermittent Exotropia | - |
dc.type | Article | - |
dc.type.rims | ART | - |
dc.description.journalClass | 2 | - |
dc.identifier.doi | 10.3341/kjo.2017.0064 | - |
dc.identifier.bibliographicCitation | Korean Journal of Ophthalmology, v.32, no.3, pp.228 - 233 | - |
dc.identifier.kciid | ART002352534 | - |
dc.description.isOpenAccess | N | - |
dc.citation.endPage | 233 | - |
dc.citation.startPage | 228 | - |
dc.citation.title | Korean Journal of Ophthalmology | - |
dc.citation.volume | 32 | - |
dc.citation.number | 3 | - |
dc.contributor.affiliatedAuthor | 안종호 | - |
dc.contributor.affiliatedAuthor | 백혜정 | - |
dc.subject.keywordAuthor | Exotropia | - |
dc.subject.keywordAuthor | Depth perception | - |
dc.subject.keywordAuthor | Outcome assessment | - |
dc.subject.keywordAuthor | Overcorrectio | - |
dc.description.journalRegisteredClass | kci | - |
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