Journal of The Korean Ophthalmological Society (대한안과학회지)

The Korean Ophthalmological Society (대한안과학회)
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Classification of Ptosis in Korea

한국인에서 안검하수의 원인별 분류

Kim, In-Sik;Choi, Jung-Bum;Rah, Sang-Hoon;Lee, Sang-Yeul
김인식;최정범;라상훈;이상렬

  • Published : 20050800
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Abstract

Purpose: To classify blepharoptosis in Korean patients, investigate the type of surgery used, and to compare the results with the data from Western countries. Methods: A total of 913 patients (1147 eyes) who underwent surgery for blepharoptosis from 1991 to 2003 were classified as either being congenital or acquired blepharoptosis, and then further subclassified into myogenic, aponeurotic, mechanical, or neurogenic ptosis according to Freuh’s mechanistic classification. The type of surgery for each type of blepharoptosis was investigated. Results: Of the 913 patients, 695 (76.1%) were congenital type, and 218 (23.9%) were acquired type. Freuh’s mechanistic classification by type was 84.7% myogenic type, 10.5% aponeurotic, 3.4% neurogenic, and 1.6% mechanical. By order of frequency, the type of surgery used was 60% frontalis suspension, 26.4% levator resection, 12.2% aponeurosis repair, and 1.4% conjunctivom?llerectomy. Conclusions: Congenital type was more common than acquired type. The proportion of congenital type was higher than the results reported from Western countries, but lower than those of previous Korean studies. This is probably due to the increased number of adults undergoing surgery for blepharoptosis compared to the past, and is a reflection of influence of socio-economic levels.

목적 : 한국인에서 안검하수의 원인별 분포 및 사용된 수술방법을 조사하고 이를 서양인에서의 연구 자료와 비교하고자 하였다. 대상과 방법 : 1991년부터 2003년까지 안검하수로 수술받은 환자 913명 1147안을 대상으로 선천성, 후천성으로 분류하였고 이를 다시 기전별 분류를 이용하여 근성, 널힘줄성, 기계성, 신경성으로 분류하였다. 각각의 경우 사용된 수술방법을 기전별로 분류하였다. 결과 : 선천성 안검하수는 695명(76.1%) 이었으며 후천성 안검하수는 218명(23.9%)이었다. 기전별 분류로는 근성 84.7%, 널힘줄성 10.5%, 기계성 1.6%, 신경성 3.4% 였다. 안검하수 교정을 위하여 사용된 수술 방법은 그 빈도 순으로 이마근 걸기술 60%, 눈꺼풀올림근 절제술 26.4%, 눈꺼풀올림근널힘줄 교정술 12.2%, conjunctivom?llerectomy 1.4% 이었다. 결론 : 선천성 안검하수의 비율이 후천성에 비해 높았고, 이는 서양에서의 연구 결과와 비교할 때 선천성 안검하수의 비율이 높았으나 과거에 국내에서 발표된 결과보다는 낮았다. 이는, 사회 경제적인 변화에 따라 성인에서의 수술 빈도가 증가한 것 때문이라고 생각된다.

Keywords

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