The Clinical Consideration of Consecutive Extropia.

Park, Jun Sung; Kang, II Suk; Seo, Sung Wook

Original Article

Journal of the Korean Ophthalmological Society 1999;40(4):1094-1099.
Published online April 1, 1999.

The Clinical Consideration of Consecutive Extropia.

Jun Sung Park, II Suk Kang, Sung Wook Seo

Depaartment of Ophthalmology, School of Medicine, Sung Kyun Kwan University, Masan Samsung Hospital.

속발 외사시의 임상적 고찰

박준성(Jun Sung Park),강일석(Il Suk Kang),서성욱(Sung Wook Seo)

Abstract

We evaluated retrospectively the clinical characteristics of 16 consecutive exotropia patients over 10PD following surgery for esotropia, the patients were differentiated into nonoperative and operative group. The nonoperative group comprised of 11 patients with exodeviation 10PD through 20PD(mean 12.9PD) and the orthphoria through 15PD(mean 10.5PD) at final visit. The operative group of 5 patients with exodeviation of 10PD through 30PD(mean 21PD) at postoperatively 2 weeks and 20PD through 35PD(mean 24PD) before operation of consecutive exotropia. In the second operatio, 3 patients with adduction limitation were operated with advancement of medial rectus or recession of lateral rectus of same eye. Four patients showed orthotropia at postoperatively 2 weeks, and 2 patients revealed orthotropia at the final visit. The results suggest that the degree of deviation and adduction limitation will influence the choice of therapy and second operation method.

Key Words: Consecutive exotropia;Operative group;Nonoperative group