| 발표일자: |
2019년 11월 1일(금)~3(일) |
| 발표번호: |
P(e-poster)-223 |
| 발표장소: |
B3 Parking Area
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| 소량으로 남게 된 수직 사시에서의 단계적 부분 하직근 건절단술 |
| (1) 동아대학교 의과대학 안과학교실, (2)스탠포드대학교 |
| 이송민(1),류원열(1,2),스캇 램버트(2) |
| 본문 : Purpose: To report a surgical technique for correcting residual small vertical deviations after ophthalmic surgery.
Methods: This case series included 3 patients who underwent a graded partial inferior rectus (IR) tenotomy in the contralateral eye to correct a residual hypertropia and excyclotorsion after inferior oblique recession or scleral buckling.
Results: Preoperatively, all 3 patients had an incomitant hypertropia of 6-10 PD in primary position with 2-5 degrees of excyclotorsion. Two patients underwent a graded IR marginal tenotomy (70-80%) using topical anesthesia and 1 patient had a central IR tenotomy (4 mm) and posterior fixation performed using general anesthesia. Postoperatively, all patients were orthotropic in all positions of gaze without excyclotorsion.
Conclusion: Graded partial IR tenotomy is an effective surgical option to correct small residual vertical deviations and excyclotorsion as a secondary procedure in lieu of wearing spectacles with a prismatic correction. |
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