CAJ | 학술논문

目的探讨下斜肌转位术治疗分离性垂直斜视的临床效果。方法选择25例DVD患者，17例伴下斜肌亢进，8例不伴下斜肌亢进。下斜肌亢进或不伴下斜肌亢进，但垂直斜视度≥10△均行下斜肌转位术。结果 (1)25例患者行下斜肌转位术后，22例术后残余垂直斜视度＜ 10△，1例术后残余垂直斜视度≥10△，2例术后残余垂直斜视度≥15△。(2)伴或不伴下斜肌亢进的DVD患者术前、术后斜视度比较有统计学差异。结论下斜肌转位术是治疗伴或不伴下斜肌亢进分离性垂直斜视的有效方法，尤其适合垂直斜视度＞15△的患者。
목적 탐토하사기전위술치료분리성수직사시적림상효과。방법 선택25례DVD환자，17례반하사기항진，8례불반하사기항진。하사기항진혹불반하사기항진，단수직사시도≥10△균행하사기전위술。결과 (1)25례환자행하사기전위술후，22례술후잔여수직사시도＜ 10△，1례술후잔여수직사시도≥10△，2례술후잔여수직사시도≥15△。(2)반혹불반하사기항진적DVD환자술전、술후사시도비교유통계학차이。결론 하사기전위술시치료반혹불반하사기항진분리성수직사시적유효방법，우기괄합수직사시도＞15△적환자。
Objective To evaluate the efficacy of anterior transposition of the inferior oblique musle (ATIO) for the treatment of Dissociated vertical deviation (DVD). Methods This was a retrospective review of 25 patients with DVD, including 17 with overactive inferior oblique muscle and 8 without inferior oblique overaction. The surgery of ATIO was performed on 25 patients with overactive inferior oblique muscle or without inferior oblique overaction, the vertical deviation of the latter had more than 10 prism-diopter (PD). Results The deviation of residual DVD was less than 10△ in 22; the deviation of residual DVD decreased more than 10△ in 1; the deviation of residual DVD was more than 15△ in 2. The deviation of desereasement was significant difference between preoperative and postoperative in DVD with or without inferior oblique overation. Conclusions ATIO is an effective method for the treatment of DVD with or without inferior oblique overaction, especially in deviation of more than 15△.