| The Clinical Outcome of the Consecutive Esotropia after Surgical Correction. |
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Young Joo Shin, Bong Leen Chang |
1Department of Ophthalmology, Seoul National University College of Medicine, Korea. blchang@plaza.snu.ac.kr
2Artificial Eye Center of Clinical Research Institute, Seoul National University Hospital, Korea. |
| 수술적 교정을 시행하였던 속발내사시 환자의 임상결과 |
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신영주 ( Sin Yeong Ju ) , 장봉린 ( Jang Bong Lin ) |
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| Abstract |
PURPOSE
To investigate the clinical outcome in patient underwent surgical correction of consecutive esotropia. METHODS: The medical records of 20 patients with at least 1 year follow-up who underwent surgical correction of consecutive esotropia from 1986 to 2001 were reviewed retrospectively. The authors investigated the deviation angle, amblyopia, diplopia before and after exotropia surgery, efficacy of occlusion on the angle of consecutive esotropia, and clinical course after consecutive esotropia surgery. RESULTS: Incidence of the consecutive esotropia was 0.9% (20 out of 2260 exotropia patients who were required surgery to correct consecutive esotropia), average age at exotropia surgery was 5 year-old, and average deviation of exotropia was 33 prism diopters (PD). There were lateral incomittancy in 4 patients, convergence insufficiency in 3 patients, amblyopia in 1 patients and no had diplopia. Monocular lateral rectus recession and medial rectus recession (R and R) was performed in 13 patients and bilateral recession in 7 patients. In most patients, even though esotropic angle was reduced by occlusion therapy, they were still esotropic. Postoperative cyclic esotropia in 3 patients, diplopia in 7 patients and amblyopia in 7 patients were developed. Surgery for esotropia was performed average 13months after surgery for exotropia, angle of esodeviation at surgery was average 31PD and amblyopia improved after surgery and occlusion in 3 eyes. There were exotropia in 15 patients, esotropia in 3 patients and orthotropia in 2 patients after surgery for consecutive esotropia. The second surgery for exotropia in 2 patients and esotropia in 1 patient were performed. CONCLUSIONS: The clinical results in surgical correction of consecutive esotropia were variable. We could not anticipate the surgical result. Careful observation and treatment for development of amblyopia is needed. |
| Key Words:
Consecutive esotropia;Variable results |
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