백내장 수술 도중 생긴 데스메막 분리가 2개월 후 자연 유착된 1예
Spontaneous Reattachment of Descemet’s Membrane Detachment at Postoperative Two Months, Which Occurred During Cataract Surgery
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목적: 수정체낭외적출술 및 인공수정체 삽입술 도중 발생한 데스메막 분리로 전방 내 공기 주입술 시행 후 남아있는 데스메막 분리가약 2개월 후 자연적으로 재유착된 1예를 보고하고자 한다. 증례요약: 78세 여자환자가 수정체낭외적출술 및 후방인공수정체 삽입술 시행 도중 데스메막 분리가 발생하였다. 수술 당일 전방 내100% 공기 주입술을 시행하였고 각막 중심부위로 데스메막 분리가 남아있었으나 2개월 간 경과관찰 후 자연적으로 유착되었고 각막부종도 호전되었다. 결론: 데스메막 분리는 시력에 막대한 영향을 줄 수 있는 안내수술의 합병증 중 하나이며 전방내 공기주입술 후에도 남아있는 데스메막분리가 별다른 처치 없이 2개월 경과 후 자연 유착된 예가 있어 보고하고자 한다.
Abstract
Purpose: To report a case of spontaneously reattached Descemet’s membrane detachment, which first occurred during the cataract surgery, and still remained after injection of 100% air into the chamber. Case summary: A 78-year-old woman came to the clinic with decreased visual acuity. She had a brunescent cataract and underwent extracapsular cataract extraction with a posterior chamber lens implantation. During the irrigation and aspiration procedure, the Descemet’s membrane was torn and detached. An anterior chamber injection of 100% air was performed prior to the conclusion of surgery. Descemet’s membrane detachment remained at the center of the cornea and was naturally reattached without any surgical procedure. At 2 months after the surgery, a well-reattached Descemet’s membrane and a clear central cornea were observed. Conclusions: Descemet’s membrane detachment is a rare but potentially serious complication of intraocular surgery. The authors report a case of naturally reattached Descemet’s membrane detachment which remained after injection of 100%air into the chamber.
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