• Title/Summary/Keyword: 간헐성 외사시

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A Case Study of the Effects of Vision Therapy on a Recurrent Intermittent Exotropia Patient Before and After Surgical Correction (간헐성외사시의 수술 전과 수술 후 재발 환자의 비젼세라피 효과 증례)

  • Lee, Chang-Seon;Kim, Ki-Hong
    • Journal of Korean Ophthalmic Optics Society
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    • v.14 no.1
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    • pp.127-131
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    • 2009
  • Purpose: The purpose of this case study is to study effect of the vision therapy on a recurrent intermittent exotropia patient before and after surgical correction. Methods: The vision therapy observation included both before and after the surgical correction of intermittent exotropia patients who had binocular vision disorder without opthalmic diseases. Results: According to the results, vision therapy method showed improvement, both case before and after the surgical correction of intermittent exotropia patients. Conclusions: Therefore we suggest that vision therapy is an effective and alternative method for intermittent exotropia patients.

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The Change in Binocular Function and Sensory Anomaly After vision Training on Intermittent Exotropia and Recurrent Intermittent Exotropia Patients After Surgical Correction (간헐성 외사시 및 외사시 재발환자에 대한 시기능 훈련 후 양안시 기능 및 감각이상 변화)

  • Lee, Chang-Seon;Kim, Jong-Ki;Shin, Jeong-Hoon;Kim, Dae-Nyoun;Lee, Hyun Mee;Kim, Ki-Hong
    • Journal of Korean Ophthalmic Optics Society
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    • v.16 no.3
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    • pp.345-350
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    • 2011
  • Purpose: This was a study of the effects of the vision training on binocular function and sensory anomaly for intermittent exotropia and recurrent intermittent exotropia patients. Mehtods: The change was examined weekly at the clinic during the 8 week vision training. The sample group of 17 patients, intermittent exotropia and recurrent intermittent exotropia patients without amblyopia, were chosen from the patients with the short and the long-distance deviation angle p=0.558 and p=0.338, and also greater than 10${\Delta}$, respectively. Results: The longdistance deviation angle was reduced by 67.9(${\pm}$32.7)%, and the short-distance deviation angle by 75.4(${\pm}$32.9)% after the vision training. There is an improvement on the binocular function and sensory anomaly according to the fusion reverse and Worth 4 dot tests. Conclusions: This study shows that the vision training is effective for phoria, function and sensory anomalyon of the intermittent extropia and recurrent intermittent exotropia patients.

Convergent evaluation of Visual function and Stereoacuity function after Surgery for Intermittent exotropia (간헐성 외사시 수술 후 시각 기능과 입체시 기능에 대한 융복합적 평가)

  • Cho, Hyung-Chel;Ro, Hyo-Lyun;Lee, Heejae
    • Journal of the Korea Convergence Society
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    • v.13 no.4
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    • pp.147-154
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    • 2022
  • This paper evaluated visual function and stereoacuity function after surgery for intermittent exotropia. Subjects of this study were 18 patients (male: n = 10, female: n = 8) mean aged 12.06±5.43 years diagnosed with intermittent exotropia who underwent strabismus surgery. Of these subjects, 72.2% of the subjects underwent strabismus surgery once and 27.8% had it twice. Visual function and stereoacuity function were tested for these subjects. For data analysis, frequency analysis, cross analysis, and correlation analysis were used, and statistical significance was set at p<.05. Regarding the deviation state after strabismus surgery, exodeviation accounted for the most(72.2%), followed by diplopia(50.0%) and suppression(33.3%) for distance sensory fusion. Regarding near sensory fusion, fusion(50.0%) accounted for the most, followed by diplopia(44.4%). After strabismus surgery, subjects with distance stereoacuity blindness were the most at 61.1% and there were no subjects with a normal range of 40-60 arcsec. Near stereoacuity blindness subjects accounted for 33.3% and subjects with 40-60 arcsec accounted for 1.1%. Even after surgery for intermittent exotropia, there were some areas that did not improve in deviation state, stereoacuity, or sensory fusion. Therefore, it is necessary to manage and control strabismus through non-surgical methods before and after surgery for intermittent exotropia.

A Study on the Effect of Intermittent Exotropia Vision Training Using Proprioceptive Test (Maindot test) (양안시 고유수용감각검사(Maindot 검사)를 사용한 간헐성 외사시안의 시기능 훈련효과에 대한 연구)

  • Lee, Chang-Seon;Bae, Youn-Joo;Kim, Jung-Bok;Kim, Ki-Hong
    • Journal of Korean Ophthalmic Optics Society
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    • v.21 no.3
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    • pp.243-251
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    • 2016
  • Purpose: This study evaluates the effectiveness of intermittent exotropia vision training through follow up of average 3 years using proprioceptive test (Maindot test). Methods: 35 people (18 men, 17 women) with mean age of 13.48 (${\pm}2.45$) with corrected visual acuity of 0.9 or higher and normal binocular vision and control were observed for changes between before, after, and 3 years following the vision training during the period from 2005 to 2009. Results: After training, the correlation between the changed amount of deviation and PRC(diplopia) value and symptoms was not significant (p>0.05). However, it showed a statistically significant (p<0.001) correlation that change of the binocular proprioceptive sense abilities is decreased subjective symptoms. Conclusions: Binocular proprioceptive sense may be used in variety of purposes and applications such as predictive evaluation of binocular symptoms, binocular function performance evaluation after vision training and prism treatment.

A Clinical Case of Vision Training for the Pediatric Intermittent Exotropia Combined with Vertical Deviation (수직편위를 동반한 간헐성외사시 소아에 대한 시기능 훈련 후 임상 사례)

  • Lee, Chang-Seon;Kim, Jae-Do;Son, Jeong-Sik;Kim, Dae-Nyoun;Jang, Woo-Yeong;Kim, Ki-Hong
    • Journal of Korean Clinical Health Science
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    • v.1 no.1
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    • pp.91-98
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    • 2013
  • Purpose: The purpose is to study the effects of the vision training, as a non-surgically treated vision therapy, on the objective and the subjective symptoms of the patients with intermittent exotropia combined with vertical deviation. Method: For the boys at the age of eight with intermittent exotropia, who report a long-distance blurred vision, dazzling, and intermittent diplopia more than ten times a day, the vision training had been practiced for seven weeks. The objective and subjective symptoms have been examined after six months from the end of the training. Results: The objective and the subjective symptoms have been improved after the seven weeks training and the improvements lasted after six months from the end of the treatment. Conclusion: Non-surgical treatment for the patients with intermittent exotropia, including intermittent exotropia combined with vertical deviation like this case, should be considered as an auxiliary treatment and on the preferential basis.

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