Clinical Evaluation on the Consecutive Esotropia after Exotropia Surgery.

Lew, Helen; Lee, Jong Bok; Han, Sueng Han; Park, He Seong

Original Article

Journal of the Korean Ophthalmological Society 1999;40(12):3482-3490.
Published online December 1, 1999.

Clinical Evaluation on the Consecutive Esotropia after Exotropia Surgery.

Helen Lew, Jong Bok Lee, Sueng Han Han, He Seong Park

외사시 수술후 발생한 속발내사시에 관한 임상적 고찰

유혜린(He Len Lew),이종복(Jong Bok Lee),한승한(Seung Han Han),박혜성(Hye Sung Park)

Abstract

We reviewed the clinical characteristics and surgical results of patients who had consecutive esotropia after exotropia surgery with at least 6 months of follow-up. The number of transient esotropic cases with more than 10 prism diopter postoperatively was 105[9%] in total 1128 cases and persistent esotropic cases at least for six months after surgery was 24[2%]. Significant correlations were found between the development of consecutive esotropia and the presence of amblyopia[p=0.04], poor stereopsis[p=0.02], suppression of the Worth 4-dot test[p<.01], and recession-resction surgery[p=0.02]. The corrective surgery for consecutive esotropia was performed on 12 cases[1.1%] with unilateral lateral rectus advancement[7 cases], bilateral lateral rectus advancement[3 cases], unilateral medial rectus recession[1 case] and bilateral medial rectus recession[1 case]. All of them showed good results.

Key Words: Consecutive esotropia;Correlation;Intermittent exotropia