There are many factors that influence the response of strabismus surgery. This study was undertaken to evaluate the influence of axial length on the response to strabismus surgery. Axial length was determined preoperatively on 156 non-paralytic horizontal strabismus patients undergoing strabismus surgery from February, 1993 to April, 1994. The mean axial length in all patients was 22.29+/-1.35mm. In esotropia the mean axial length was 21.24+/-1.12mm and in exotropia the mean axial length was 22.68+/-1.23mm. A statistically significant inverse correlation was found between axial length and surgery response (prism diopters per millimeter of recuts recession) in esotropic patients (R=-0.51 p=0.0006). Especially in aquired esotropia, a more significant correlation was found between axial length and surgery respinse (R=-0.73 P=0.0001). The relationship in esotropia was linear and could be written as the approximate regression formula : surgery response=9.51-0.29* axial length (R=-0.454 P=0.03). However, a poor correlation was found between axial length and surgery response in exotropia. Therefore it is regraded as being effective that the amount of recession in esotropia should be graduated according to axial length.
Esotropia ; Exotropia ; Humans ; Strabismus*

PURPOSE: We assessed the relationship between the surgical outcome of intermittent exotropia and initial postoperative alignment by checking it on the first postoperative day or the day of strabismus surgery. METHODS: Seventy-three patients with intermittent exotropia underwent bilateral lateral rectus recession or unilateral medial rectus resection and lateral rectus recession. Thirty-two patients had their postoperative alignment checked on the day of surgery, and forty-one patients were checked on the first postoperative day. Success was defined as sustained alignment six months postoperatively from esotropia 10PD to exotropia 10PD. Overcorrection was defined as esotropia greater than 11PD, and undercorrection was exotropia greater than 11PD. We assessed the relationship between the alignment on the day of surgery or on the first postoperative day and also at six months postoperatively, as well as the success rate according to the initial postoperative alignment. RESULTS: There was a statistically significant relationship between alignments on the day of surgery or on the first postoperative day and those at six months postoperatively (p<0.001, p<0.001). The deviation on the first postoperative day had a greater correlation coefficient compared to the deviation on the day of the operation (Pearson correlation coefficient=0.704, and 0.593, respectively). The alignment of overcorrection ranged from 11~20PD on the day of surgery, and on the first postoperative day it produced a relatively high success rate (p=0.016, p=0.035). There was no statistically significant difference in the success rate between the two types of surgery (p=0.832). CONCLUSIONS: The alignment on the day of surgery showed a high correlation to the outcome on the sixth postoperative month in intermittent exotropia patients. The initial postoperative overcorrection of 11 to 20PD on the day of surgery and on the first postoperative day resulted in the best long-term outcomes.
Esotropia ; Exotropia* ; Humans ; Strabismus

The heterophoria and fusional amplitude were measured on 100 normal Korean peoples, aged from 5 to 66 years. 1. The normal value of the horizontal and vertical phoria were measured by phorometer at 6m distance. They were revealed that the frequency of the heterophoria were 95% of horizontal phoria, 26% of vertical phoria and 5% of orthophoria. And there were no statistical correlation between age, sex and heterophoria. 2. The normal value of the convergence, divergence, vertical and cyclovergence fusioanl amplitude were measured with major amblyoscope. And the correlation between horizontal phoria and horizontal fusional amplitude, age and fusional amplitude were also studied. The results were as follows. The normal value of convergence fusional amplitude revealed significantly higher value than other datas which measured by rotary prism or other methods, but divergence and vertical fusional amplitude were almost same value than others. The difference seemed due to using interesting picture slide in my experience which stimulate accommodative factor. The correlation between horizontal phoria and horizontal fusional amplitude revealed that smaller convergence amplitude in exophoria, and larger in esophoria, but no significant relationship between divergence amplitude and horizontal phoria were noted. Also there were no significant correlation between age and fusional amplitude.
Esotropia ; Exotropia ; Reference Values ; Strabismus

We Performed an epidemiologic survey for strabismus among primary school-children in order to investigate the number of strabismus from March 1995 to February 1996. Cover-uncover test and prism cover test were used. The results were as follows:1. Out of 9054 1st grade primary school-children examined, 322(3.56%) were found as strabismus. 2. 322 cases of strabismus include 262(81.4%)exodeviation and 60(18.6%) esodeviation. 3. Alternating type and monocular type strabismus have no difference both in exotropia and esotrapia. 4. In exotropia and esotropia, no sexual predilection was found. 5. Most portion of deviation angle distribute between 11 to 20 prism diopter. 6. The difference of number of strabismus between big cities and small cities was statistically insignificant(p>0.05).
Epidemiology ; Esotropia ; Exotropia ; Korea* ; Strabismus*

Cyclic strabismus is now well recognized, but remains a rare entity. This heterotropia represents an interesting ocular motility problem in which the ocular deviation is present on a rhythmic basis, usually a 48 hour cycle. On the strabismic day, constant heterotropia is large and associated with suppression and no diplopia. On the nonstrabismic day, no deviation or only a small heterophoria is present with good binocular function. Most of these strabismus were presented with esotropia, but in our case, the pattern of deviation is cyclic exotropia. This is a very rare and unique feature.
Diplopia ; Esotropia ; Exotropia* ; Strabismus ; Telescopes

A cyclic squint is a rare, interested in ocular motility disturbance. It appears regular and alternate-day rhythmic cycle, most frequently at 48 hours The cyclic squint was reviewed approximately 50 Cases in literatures since it was first reported by Burian in 1958. These all was presented with cyclic ESOTROPIA but authors have not found a description of cyclic EXOTROPIA as described here. The biological clock mechanism which induces a cyclic squint is unknown. This case had recession of the bi-lateral recti and obtained constant orthophoria.
Biological Clocks ; Esotropia ; Exotropia* ; Strabismus

Eighty children who had horizontal strabismus were examined with Titmus and random-dot stereogram(TNO) for the stereoacuity. The patients were analyzed about visual acuity and types of strabismus. In addition, we also analyzed thirty three patients who received correction surgery for the strabismus for evaluation of the changes of postoperative visual acuity and its relationship to the stereoacuity. The results were as follows: 1. The stereoacuity tested by the TNO was proportional to the change of visual acuity, but that of the Titmus was not proportional. 2. The stereoacuity in the exodeviation was higher than the esodeviation. The stereoacuity in the intermittent exotropia was higher than the constant exotropia, and there was no difference in stereoacuity between the accommodative and nonaccommodative esotropia. 3. The visual acuity was improved postoperatively. 4. The postoperative stereoacuity was also improved. The patients with esodeviation showed more improvement in the stereoacuity compared with that of the patients with exodeviation.
Child* ; Esotropia ; Exotropia ; Humans ; Strabismus* ; Visual Acuity

PURPOSE: To investigate the change of horizontal deviation after recession or resection of vertical rectus. METHODS: Retrospective analysis of patients who underwent recession or resection of the vertical rectus to correct vertical strabismus or dissociated vertical deviation from January 1997 to December 2001. RESULTS: Of 39 patients who underwent superior rectus recession, 14 showed exodeviation, 18 esodeviation and 7 no change compared to preoperative horizontal deviation. The mean change was 0.4 prism diopter esodeviation, which was not statistically significant(paired t-test, p=0.96). Nor was there any significant change of horizontal deviation after inferior rectus recession or resection(paired t-test, p=0.95). CONCLUSIONS: Recession or resection of the vertical rectus did not influence horizontal deviation significantly.
Esotropia ; Exotropia ; Humans ; Muscles* ; Retrospective Studies ; Strabismus*

The authors analysed the interpupillary distance and the distance between optical centers in 200 spectacles wearers. The results were as follows; 1. Among the 200 glasses wearers, the cases of hospital prescriptions were 44 persons and the cases of optical shops prescriptions were 156 persons. 2. Hyperopic glasses wearers were 26 persons and myopic glasses wearers were 174 persons. 3. The distance between optical centers was coincided to the interpupillary distance in 26 persons and discrepant in 174 persons. 4. In 115 eyes the prismatic effects were more than 0.5 prism diopter, and maximal prismatic effect was 5.78 prism diopters. 5. The evaluation of the induced horizontal phoria showed that 119 persons had the induced esophoria and 55 persons had the induced exophoria. In 58 persons induced phoria were more than 1 prism diopter. Maximal induced esophoria was 11.55 prism diopters and maximal induced exophoria was 4.30 prism diopters.
Esotropia ; Exotropia ; Eyeglasses* ; Glass ; Humans ; Prescriptions ; Strabismus

PURPOSE: To investigate the effect of the difference between interoptical and interpupillary center distance on the eye of the patient. METHODS: One hundred patients were enrolled in this study. We investigated the congruities between interpupillary and interoptical center distance, the horizontal balance of optical center, and the induced prismatic effects. RESULTS: Prismatic effects were evaluated for 30 patients who were wearing inaccurate lens centering. The average of P.D in male (64.2+/-2.7 mm) was greater than that in female (61.2+/-2.2 mm). The evolution of the induced horizontal phoria showed that forty-seven percent of the patients had induced exophoria and fifty-three percent of the patients had induced esophoria. The prism diopter of the induced exophoria and esophoria were 0.92+/-0.87delta and 0.62+/-0.46delta, respectively. CONCLUSIONS: When the pupillary distance of or the interpupillary distance was not accurately measured, the prism effect and the induced phoria developed by the difference between interoptical and interpupillary center distance.
Esotropia ; Exotropia ; Female ; Humans ; Male ; Pupil* ; Strabismus