| 대한안과학회 학술대회 발표 연제 초록 |
| SP F-026 |
| Ocular alignment after bilateral medial rectus recession in esotropic patients with spinocerebellar atrophy |
| Department of Ophthalmology, School of Medicine, Kyungpook National University, Daegu, KOREA (1), Neuro-Ophthalmology Service, Department of Ophthalmology, Massachusetts Eye and Ear Infirmary, Harvard Medical School, Boston, MA, USA (2), Federal University School of Medicine, Sergipe, BRAZIL (3) |
| Bo Young Chun MD, PhD (1,2), Marcelle V. Freire MS (2,3), Dean M. Cestari MD (2) |
| 목적 : To compare the surgical outcomes in patients with spinocerebellar atrophy (SCA) with esotropia who underwent bilateral medial rectus (BMR) recession and those in esotropic controls without neurologic disorders. 방법 : The medical records of the patients with SCA who underwent strabismus surgery for esotropia between 2006 and 2015 were reviewed retrospectively. Five SCA patients with esotropia (group 1) and 10 age-matched esotropic controls without neurologic disorders (group 2) who underwent BMR recession were included in this study. Data collection included pre- and post-operative deviation measurements and amount of surgical recession performed. Surgical success rates and the amount of esodeviation corrected per millimeter of BMR recession between groups were compared. 결과 : There was no difference in mean preoperative esodeviations between groups (18 PD and 16.4 PD, respectively, p>0.05). Mean esodeviations were 4.8 PD and 1.1 PD on postoperative day 1; 6.4 PD and 3.2 PD at final follow-up for groups 1 and 2. The surgical success rate for group 1 was 40% and that for group 2 was 60%. 결론 : SCA patients with esotropia demonstrated slight undercorrection following BMR recession compared with esotropic controls without neurologic disorders. Our findings support the condition that surgeon should consider increasing the amount of BMR recession when planning the strabismus surgery for esotropic patients with SCA. |