이상두위를 동반한 유아안진에서 Modified Kestenbaum(6-7-6-7mm) 술식의 효과

Abstract

We assessed the efficacy of modified Kestenbaum procedure for the correction of abnormal head position in 16 patients with the diagnosis of in fantile nystagmus. Instead of Parks 5-6-7-8mm modified Kestenbaum procedure, we performed 6-7-6-7mm modified Kestenbaum on 11 patients with head turn of 20-30。,20% augmented procedure(7.2-8.4-7.2-8.4mm) on 4 patients with head turn of 30ㄱ or more, and-1mm procedure(5-6-5-6mm) on 1 patent with head turn of less than 20ㄱ. In the average follow-up of 7 months, 10 patients(62.5%) showed head turn of less than 5ㄱ, in which 14 of 16 patients had less than10ㄱ .87.5% of the patients showed satisfactory correction of abnormal head position., 12 prism diopter of exotropia was noted postoperatively in 1 case but the duction was not limited in any case. From the above results, we conclude that 6-7-6-7mm modified Kestenbaum nystagmus(J Korean Ophthalmol Soc 38:2207~2213, 1997).