KMID : 0360220090500010135
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Journal of the Korean Ophthalmological Society 2009 Volume.50 No. 1 p.135 ~ p.138
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The Long-Term Effect of Part-Time Occlusion Therapy According to Compliance in Recurrent Intermittent Exotropia
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Kim Sang-Kyoon
Yi Sung-Tae Kim Seung-Hyun Cho Yoon-A
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Abstract
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Purpose: To evaluate the reoperation rate and the change of exo-angle according to compliance level of part time occlusion therapy in recurrent intermittent exotropia.
Methods: This retrospective study included 52 patients of recurrent intermittent exotropia who followed up more than 5 years after their first operation. They were ordered part time occlusion therapy for recurrent exotropia. The patients were divided into 4 groups according to the level of compliance of part time occlusion therapy (\\\¡¯excellent\\\¡¯, \\\¡¯good\\\¡¯, \\\¡¯fair\\\¡¯, \\\¡¯poor\\\¡¯). We evaluated the reoperation rate in 5 years after the first operation and the change of exo-angle from the early recurrent time according to compliance levels.
Results: The reoperation rate within 5 years after the first operation of \\\¡¯excellent\\\¡¯ and \\\¡¯good\\\¡¯ compliance groups was lower than that of \\\¡¯fair\\\¡¯ and \\\¡¯poor\\\¡¯ groups (33.3, 26.3, 73.7 and 45.5% respectively) and the degree of exo-angle progression from the early recurrent time of the \\\¡¯excellent\\\¡¯ and \\\¡¯good\\\¡¯ compliance groups was less than that of \\\¡¯fair\\\¡¯ and \\\¡¯poor\\\¡¯ compliance groups, both results of which were statistically significant (p=0.02, 0.03).
Conclusions: Part time occlusion therapy in recurrent intermittent exotropia has good long-term effects of decreasingreoperation rates in patients with a high level of compliance.
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KEYWORD
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Intermittent exotropia, Part time occlusion therapy, Recurrent, Reoperation rate
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