CAJ | 학술논문

目的探讨上斜肌后徙术矫正伴上斜肌功能亢进斜视及眼球旋转状态的效果.方法收集伴上斜肌功能亢进的A型斜视、下斜肌麻痹和Brown综合征患者共12例,观察手术前后原在位、上下转25°及9个诊断眼位斜视度及上斜肌功能,于术前和术后行双眼眼底照相并测量黄斑-视盘夹角(FDA).结果 A型斜视患者术前上下转25°斜视度相差最小17△,最大53△,术后均小于10△,A征消失,手术前双眼FDA为(20.32±8.53)°,术后为(4.15±7.22)°;下斜肌麻痹和Brown综合症患者术前垂直斜度均大于10△,术后均小于6△,手术前双眼FDA为(11.32±7.11)°,术后为(2.65±2.52)°.结论上斜肌后徙术可有效矫正伴上斜肌功能亢进斜视和眼球内旋状态.
목적 탐토상사기후사술교정반상사기공능항진사시급안구선전상태적효과.방법 수집반상사기공능항진적A형사시、하사기마비화Brown종합정환자공12례,관찰수술전후원재위、상하전25°급9개진단안위사시도급상사기공능,우술전화술후행쌍안안저조상병측량황반-시반협각(FDA).결과 A형사시환자술전상하전25°사시도상차최소17△,최대53△,술후균소우10△,A정소실,수술전쌍안FDA위(20.32±8.53)°,술후위(4.15±7.22)°;하사기마비화Brown종합증환자술전수직사도균대우10△,술후균소우6△,수술전쌍안FDA위(11.32±7.11)°,술후위(2.65±2.52)°.결론 상사기후사술가유효교정반상사기공능항진사시화안구내선상태.
Objective To investigate superior oblique recession in treatment of strabismus with superior oblique overaction and effects on torsion status. Methods Pre- and Post-operative primary,upward, downward and 9 diagnostic eye position of deviation, superior oblique muscle function, fundus photograph were examined and analyzed in A-pattern, inferior oblique palsy and Brown syndrome with superior oblique overaction. Results The maximum pre-operative deviation difference between upward and downward gaze was 53△ whereas minimum was 17△ in A-pattern. All post-operative deviation difference was not more than 10△. The mean pre-operative fovea-disc angle (FDA) of both eyes was (20.32±8.53)°whereas (4.15±7.22)°after operation in A-Pattern. The pre-operative vertical deviation in inferior oblique palsy and Brown syndrome patients was more than 10△ whereas post-operative not more than 6△. The mean pre-operative FDA of both eyes was (11.32±7.11)°whereas (2.65±2.52)°after operation. Conclusions Superior oblique recession is effective in correcting strabismus with superior oblique overation and intorsion.