CAJ | 학술논문

目的比较间歇性外斜视(基本型)病人双眼外直肌后徙加非主导眼外直肌后徙+内直肌截腱的手术效果.方法对116例斜视度在-25△～-50△间歇性外斜视(基本型)患者.随机分为AB两组,每组各58例(A组)行双眼外直肌后徙手术,B组行非主导眼外直肌后徙+内直肌截腱手术,并将手术效果进行比较.术后斜视度≤±10△认为效果满意.结果 A组46例(79.31%)术后效果满意,12例术后欠矫(20.69%),无过矫发生.B组52例(89.66%)术后效果满意,2例(3.45%)术后欠矫,4例(6.89%)术后过矫,1例过矫病人二次行鼻侧结膜松解术后眼位正位.结论对于间歇性外斜视(基本型)病人,非主导眼外直肌后徙+内直肌截腱,手术效果比双眼外直肌后徙效果好,但其过矫率较高.
목적 비교간헐성외사시(기본형)병인쌍안외직기후사가비주도안외직기후사+내직기절건적수술효과.방법 대116례사시도재-25△～-50△간헐성외사시(기본형)환자.수궤분위AB량조,매조각58례(A조)행쌍안외직기후사수술,B조행비주도안외직기후사+내직기절건수술,병장수술효과진행비교.술후사시도≤±10△인위효과만의.결과 A조46례(79.31%)술후효과만의,12례술후흠교(20.69%),무과교발생.B조52례(89.66%)술후효과만의,2례(3.45%)술후흠교,4례(6.89%)술후과교,1례과교병인이차행비측결막송해술후안위정위.결론 대우간헐성외사시(기본형)병인,비주도안외직기후사+내직기절건,수술효과비쌍안외직기후사효과호,단기과교솔교고.
Objective To compare the surgical outcomes of bilateral lateral rectus muscle recession (BLR) and unilateral medial rectus muscle resection and lateral rectus muscle recession (R&R) procedure on the nondominant eye for the patients of basic intermittent exotropia. Methods A total of 116 patients who underwent either BLR (group A) or R&R (group B) surgery were reviewed. Surgical outcome between the 2groups were analyzed. Surgical outcome was considered successful if there was a strabismus ≤ 10 PD. Results Among the patients in group A, 46 of the 58 patients (79.31%) had a satisfactory outcome, and 12 patients (20.69%) were with undercorrection. There was no case of overcorrection in group A. In group B, 52 of the 58patients (89.66%) had a satisfactory outcome, and 2 patients (3.45%) were with undercorrection. There were 4patients (6.89%) were overcorrected in group B. One overcorrected patient in group B had satisfactory outcome after conjunctival release operation. Conclusions Surgical success was significantly higher in the R&R group than in the BLR group, but its overcorrect rate is significantly higher.