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수평사시 환아에서 수평직근후전술의 수술 결과에 대한 근시 및 안축장 길이의 영향

Other Titles
 Effect of Axial Length (Myopia) on Horizontal Recti Recession in Children with Horizontal Strabismus 
Authors
 이원석  ;  이종복  ;  한승한 
Citation
 JOURNAL OF THE KOREAN OPHTHALMOLOGICAL SOCIETY, Vol.52(4) : 472-476, 2011 
Journal Title
JOURNAL OF THE KOREAN OPHTHALMOLOGICAL SOCIETY(대한안과학회지)
ISSN
 0378-6471 
Issue Date
2011
Keywords
Axial length ; Horizontal strabismus ; Recti recession
Abstract
Purpose

To assess the influence of axial length for surgical outcome of horizontal recti recession in children with horizontal strabismus.

Methods

A retrospective, non-comparative case series. 100 patients, 96 males and 44 females with unilateral or bilateral high myopia and strabismus surgery was performed. All patients had horizontal recti recession and no combined vertical strabismus. There was no history of any ocular trauma or surgery and no history of any other systemic diseases that affect ocular motility. After horizontal recti recession, the patients were followed-up for more than one year. Data was analyzed using SPSS Software for Windows, version 12.0.1.

Results

In 100 children, the mean axial length was 23.21 ± 1.38 mm (range, 19.63-26.50 mm) and the mean age was 7.43 ± 2.86 years (range, 1-14 years). Lateral rectus recession was in 89 cases, and medial rectus recession was done in 11 cases. After operation, 86 cases were fully corrected, 11 cases were under corrected and 3 cases were over corrected. Binary logistic regression analysis was performed revealing that, preoperative angle of deviation (p-value 0.062) and axial length (p-value 0.05) were highly correlated with surgical outcome.

Conclusions

Age, preoperative angle of deviation, and axial length may influence the surgical outcome of horizontal recti recession in children. In eyes with long axial length, the surgical outcome of horizontal recti recession appears to be poorer than that in eyes with short axial lengths. Adjusting the recession amounts when performing horizontal recti recessions in long axial length eyes may provide better results.
Files in This Item:
T201103134.pdf Download
DOI
10.3341/jkos.2011.52.4.472
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Ophthalmology (안과학교실) > 1. Journal Papers
Yonsei Authors
Lee, Jong Bok(이종복)
Han, Seung Han(한승한) ORCID logo https://orcid.org/0000-0001-8972-4790
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/93949
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