J Korean Ophthalmol Soc > Volume 53(4); 2012 > Article
Journal of the Korean Ophthalmological Society 2012;53(4):565-571.
DOI: https://doi.org/10.3341/jkos.2012.53.4.565    Published online April 15, 2012.
Surgical Results of Modified Harada-Ito Operation for Excyclotorsion.
Ka Hee Park, Jin Hee Shin, So Young Kim
Department of Ophthalmology, Soonchunhyang University Cheonan Hospital, Soonchunhyang University College of Medicine, Cheonan, Korea. ophdrkim@schmc.ac.kr
변형된 하라다-이토 수술 후 안구회선의 교정효과
박가희⋅신진희⋅김소영
Department of Ophthalmology, Soonchunhyang University Cheonan Hospital, Soonchunhyang University College of Medicine, Cheonan, Korea
Abstract
PURPOSE
We evaluated the efficacy of the modified Harada-Ito operation for excyclotorsion in acquired superior oblique palsy patients after trauma. METHODS: This study represents a retrospective review of 10 eyes in 9 patients who were surgically treated for excyclotorsion. Cyclotorsion was measured with the double maddox-rod test and fundus photographies preoperatively and postoperatively. RESULTS: The median measured change in excyclotorsion before and after the surgery in the primary gaze was reduced from 15.67 +/- 6.00 to 4.78 +/- 3.42 according to fundus photographies and from 12.30 +/- 6.27 to 2.45 +/- 3.73 according to the double maddox-rod test. Subjective and objective changes in excyclotorsion werer not significantly different. CONCLUSIONS: The Modified Harada-Ito operation is an effective treatment for correcting excyclotorsion. Although not statistically significant, the amount of excyclotorsion on fundus photography is exaggerated. This point should be considered to achieve effective surgery.
Key Words: Double Maddox-rod test;Excyclotorsion;Fundus photography;Modified Harada-Ito operation;Superior oblique palsy


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