| A Clinical Study on Operative Treatment of Acquired Esotropia. |
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Hyang Kim Kyung, Hun Lee, Wan Geun Park |
1Department of Ophthalmology, Maryknoll Hospital, Pusan, Korea.
2Department of Ophthalmology, Kangnam St. Mary's Hospital, Catholic Medical College, Seoul, Korea. |
| 후천성 내사시의 수술적 요법에 대한 임상적 고찰 |
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이경헌(Kyung Hun Lee),김향(Hyang Kim),박완근(Wan Keun Park) |
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| Abstract |
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From May, 1982 to Aug. 1984, authors analyzed the clinical results of the evaluation of 43 esotropic patients who underwent surgery, except the patients with congenital esotropia. The obtained results were as follows; 1. Male occupied 46.5% and female 53.5%. Partially accommodative cases were 2.8 times as many as nonaccommodative cases. 2. Common age of onset was 2 years and common operative age was 4 years. Above a half of cases underwent operation within 2 years after onset. 3. Common age of the first hospital visit was 4 years and all cases underwent operation within 2 years after that time. 4. The angle of deviation between 21 delta - 30 delta was found in 34.9% of cases. 5. Refraction after instillation of cycloplegic agent showed that 46.5% of cases were over +2.0D and 37.2% between + 2.0D and 0D. 6. Type of surgery was monocular medial recession with lateral resection in 34.9 % of cases. 7. Postoperative fusion was achieved 3.5 times as high as non-fusion in the cases who underwent operation before the age of 4 years and in the cases who underwent operation after that age the ratio were about the same. 8. Postoperative angle of deviation were orthophoric in 44.2% of cases. Undercorrection was noticed in 48.8% of cases and overcorrection in 7% of cases. 9. Postoperative nonsurgical methods of treatment for remained abnormalities were wearing of glasses, the occlussive therapy and the use of miotics, etc. Among them, the wearing of glasses was most available. |
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