| 발표일자: |
2016년 11월 4일(금) ~ 11월 6일(일) |
| 발표번호: |
P(판넬)-097 |
| 발표장소: |
킨텍스 제2전시장 7B홀 |
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| 갑상선안질환에 의해 발생한 하사시 교정을 위해 시행한 사시 수술 후 발생하는 수직 편위량 분석 |
| 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 determine the postoperative vertical drift in thyroid eye disease (TED) patients with hypotropia who underwent vertical rectus recession alone and those with combined horizontal rectus recession.
방법 : A retrospective medical record review was done in 67 patients with TED who underwent strabismus surgery for hypotropia between 2006 and 2015. Group 1 had vertical rectus muscle recession only, while group 2 had vertical rectus muscle recession plus horizontal rectus muscle recession. Data collected included: age, preoperative and postoperative sensorimotor details in primary position, distance and near. The amount of postoperative vertical drift for each group was calculated and compared between group 1 and 2.
결과 : Mean preoperative hypotropia were 24.2 ± 7.2 PD and 24.5 ± 6.6 PD for group 1 (n=9) and 2 (n=9), respectively (p>0.05). Mean vertical deviations on postoperative day 1 (POD 1) measurements were 0.3 ± 2.5 PD and -2.2 ± 6.2 PD and those of final measurements were -0.9 ± 4.5 PD and -8.0 ± 4.1 PD, respectively (p<0.05). Mean amount of postoperative vertical drift toward hypertropia were 1.2 PD and 6.8 PD, respectively (p<0.05).
결론 : There was a statistically significant larger postoperative vertical drift in TED patients with hypotropia who had combined horizontal rectus recessions compared with those that had vertical rectus surgery alone. We should be aware of this difference when planning surgery for hypotropia in patients with TED.
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