| 발표일자: |
2016년 11월 4일(금) ~ 11월 6일(일) |
| 발표번호: |
P(판넬)-107 |
| 발표장소: |
킨텍스 제2전시장 7B홀 |
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| 척수소뇌위축증을 동반한 내사시 환자들의 임상양상 및 사시수술결과 |
| 경북대학교 의과대학 안과학교실(1), Federal University School of Medicine, Sergipe, BRAZIL(2), Neuro-ophthalmology Service, Department of Ophthalmology, Massachusetts Eye and Ear Infirmary, Harvard Medical School, USA(3) |
| 전보영(1,3), Marcelle V. Freire(2,3), Dean M. Cestari(3) |
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목적 : To compare the surgical results of esotropic patients with spinocerebellar atrophy (SCA) and controls without neurologic disorders
방법 : Five patients with esotropia and SCA (group 1) and 10 age matched controls without SCA (group 2) who underwent bilateral medial rectus (BMR) recession were retrospectively included. All patients underwent BMR recession by one surgeon. Surgical success was defined as esotropia less than 6 PD and exotropia less than 9 PD. Preoperative and postoperative deviation angle measurement and success rate were analyzed.
결과 : Preoperatively, there was no statistically meaningful difference in mean horizontal deviation in primary position between the two groups (18 PD and 16.4 PD, respectively (p>0.05)). Mean esodeviation angles in primary position at postoperative 1 week measurements were 4.8 PD and 1.1 PD in group 1 and 2 respectively, and 6.4 PD and 3.2 PD in group 1 and 2, respectively, in postoperative 3 months. Success rate of group 1 was 40% and that of group 2 was 60% (p<0.05).
결론 : SCA patients with esotropia demonstrated slight undercorrection of their esodeviation when compared with that of controls after BMR recession. Our findings support the condition that surgeon should consider increasing the amount of BMR recession when planning the surgery for esotropic patients with SCA.
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