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얼굴돌림 및 사시를 동반한 영아안진에서 Adjusted Kestenbaum 술식의 효과

Other Titles
 urgical Management of Concurrent Strabismus and Face Turn in Patients with Infantile Nystagmus 
 박성은  ;  한승한  ;  이종복  ;  한진우 
 Journal of the Korean Ophthalmological Society (대한안과학회지), Vol.60(8) : 780-786, 2019 
Journal Title
 Journal of the Korean Ophthalmological Society (대한안과학회지) 
Issue Date
Infantile nystagmus ; Nystagmus ; Oculomotor muscles ; Strabismus
Purpose: To investigate the effect of adjusted Kestenbaum surgery in patients with idiopathic infantile nystagmus who were affected by both strabismus and face turn. Methods: This retrospective consecutive case series included 12 patients with infantile nystagmus who had face turn and strabismus. All patients underwent adjusted Kestenbaum surgery between 1996 and 2014, and primary outcome measures were the postoperative degree of face turn and strabismus. Results: All patients had jerky nystagmus with compensatory face turn and strabismus. Of the 12 patients, eight patients were exotropes and four patients were esotropes. The mean age at surgery was 12.5 ± 10.7 years (range, 2-36 years). The mean postoperative follow-up was 17.8 ± 12.0 months (range, 7-43 months). Surgery was successful in eight (66.7%) out of 12 patients. Improvement of anomalous head posture was satisfactory in all patients, but an angle of deviation within 10 prism diopters was not achieved in four patients. Conclusions: Adjusted Kestenbaum surgery simultaneously improved both ocular misalignment and face turn with one-stage surgery. Two or three rectus muscles surgery can be considered in these patients because it is not only simpler than four muscles surgery but also can preserve one or two rectus muscles.
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1. College of Medicine (의과대학) > Dept. of Ophthalmology (안과학교실) > 1. Journal Papers
Yonsei Authors
Park, Sung Eun(박성은)
Lee, Jong Bok(이종복)
Han, Seung Han(한승한) ORCID logo https://orcid.org/0000-0001-8972-4790
Han, Jinu(한진우) ORCID logo https://orcid.org/0000-0002-8607-6625
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