7 84

Cited 4 times in

Changes in the interpupillary distance following general anesthesia in children with intermittent exotropia: a predictor of surgical outcomes

Authors
 Hyoung Won Bae ; Seung Ah Chung ; Jong Bok Lee ; Jin Sook Yoon 
Citation
 Journal of Pediatric Ophthalmology & Strabismus, Vol.49(1) : 49~53, 2012 
Journal Title
 Journal of Pediatric Ophthalmology & Strabismus 
ISSN
 0191-3913 
Issue Date
2012
Abstract
PURPOSE: To determine whether changes in ocular alignment following general anesthesia, as measured by interpupillary distance, can be used as a predictor for surgical outcomes in children with intermittent exotropia. METHODS: The authors obtained digital photographs of 40 children with exotropia and 20 children with epiblepharon (control group) before and immediately after induction of general anesthesia in the primary supine position. Differences in the anatomic interpupillary distance (aIPD) for each patient were measured and compared with the preoperative angles of deviation. They were also correlated with surgical outcomes on the first day and 1 year after surgery. RESULTS: All 60 patients demonstrated an increase in aIPD following general anesthesia. The mean change in aIPD in patients with exotropia was similar to that in patients with epiblepharon (3.78% ± 2.53% and 3.15% ± 1.05%, respectively). In patients with exotropia, there was a significant positive linear correlation between the preoperative distance deviation (P) and the change in eye position (A): A = 0.362 P - 4.488, r(2) = 0.476 (P < .001). Five (71%) of seven patients whose changes were outside the 80% confidence interval for expected values had poor surgical outcomes on the first postoperative day and four had unsatisfactory results 1 year after surgery. CONCLUSIONS: Changes in aIPD following general anesthesia were strongly correlated with preoperative angle of deviation. Therefore, they may be a useful predictor of surgical outcomes in children with exotropia
URI
http://ir.ymlib.yonsei.ac.kr/handle/22282913/91034
DOI
10.3928/01913913-20110517-01
Appears in Collections:
1. 연구논문 > 1. College of Medicine > Dept. of Ophthalmology
Yonsei Authors
사서에게 알리기
  feedback
Link
 http://www.healio.com/ophthalmology/journals/JPOS/%7BDAA16817-F5E6-4A22-860D-58FD218A4042%7D/Changes-in-the-Interpupillary-Distance-Following-General-Anesthesia-in-Children-With-Intermittent-Exotropia-A-Predictor-of-Surgical-Outcomes
Export
RIS (EndNote)
XLS (Excel)
XML

qrcode

Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.

Browse