Journal of the Korean Ophthalmological Society 1993;34(8):782-787.
Published online August 1, 1992.
Long-standing Adult Horizontal Strabismus with Early Childhood Onset.
Yoonae A Cho, Dong Seok Lee, Eui Jeong Kim
Department of Ophthalmology, College of Medicine, Korea University, Seoul, Korea.
어릴 때 발생한 성인 수평사시에 대한 고찰
조윤애(Yoon Ae Cho),이동석(Dong Seok Lee),김의정(Eui Jeong Kim)
Abstract
Management of infantile and early childhood onset strabismus should be completed during early childhood to gain better binocular function and vision. The author experienced 38 adult patients who had horizontal strabismus without any adequate treatment lasting over 14 years with onset before 6 years of age. They showed large angle of deviation and deep amblyopia. After surgery, stereopsis was never developed in all of the 14 congenital strabismic patients, whereas 30% of the 24 patients with acquired onset showed gross stereopsis. There was abnormal muscular contracture requiring adjustable stutre. All of the patients showed abnormal character psychologically. This study revealed that the lunger the duration of misalignment, the greater the chance of deep amblyopia large angle of deviation, abnormal sensory and motor adaptation, psychological influence, and ahnormal muscular contracture. Therefore early initiation of therapy during early childhood should be emphasized.
Key Words: adjustable suture;early childhood onset;long-standing adult strabismus;psychologic influence;stereopsis


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