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증식당뇨망막병증 환자에서 발생한 친수성 아크릴 인공수정체 혼탁 1예

A Case of Hydrophilic Acrylic Intraocular Lens Opacification in a Patient with Proliferative Diabetic Retinopathy

김광수|김유철|문건
대한안과학회 (The Korean Ophthalmological Society)|2012.08|대한안과학회지 (Journal of The Korean Ophthalmological Society)|제53권 제8호|pp. 1172-1176|DOI http://dx.doi.org/10.3341/jkos.2012.53.8.1172

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참고문헌

키워드

Diabetic retinopathyOpacificationHydrophilic acrylic IOL
주제분류안과학

초록

목적: 당뇨망막병증으로 유리체절제술 및 백내장 수술을 받은 환자에서 친수성 아크릴 인공수정체(RaynerⓇ SuperflexⓇ 620H) 혼탁1예를 경험하였기에 보고하고자 한다. 증례요약: 54세 여자환자가 고위험 증식 당뇨망막병증으로 유리체절제술, 백내장 제거술 및 친수성 아크릴 인공수정체(RaynerⓇ SuperflexⓇ620H) 삽입술을 시행 받고 15개월 뒤 시력저하를 주소로 내원하였다. 세극등현미경 검사상 인공수정체 혼탁이 관찰되었으며 인공수정체 교환술을 시행하고 제거된 인공수정체를 주사전자현미경, X선 분광분석기로 분석하였다. 주사전자현미경 검사 상 광학부의 앞쪽표면 아래에서 다수의 과립상 침착물이 발견되었고 X선 분광분석 검사를 통하여 침착된 물질이 칼슘(calcium)과 인(phosphate)으로분석되었다.

Abstract

Purpose: To report a case of hydrophilic acrylic intraocular lens (IOL) opacification in a patient who underwent vitrectomy and cataract surgery for the treatment of diabetic retinopathy. Case summary: A 54-year-old female complained of blurred vision for 15 months after having combined vitrectomy and phacoemulsification with IOL (Rayner® Superflex® 620H) implantation for the treatment of high-risk proliferative diabetic retinopathy. On slit-lamp examination, IOL opacification was evident. IOL exchange was performed and the explanted IOL analyzed. Scanning electron microscopy (SEM) revealed the presence of translucent granular deposits on the anterior subsurface of the IOL. Energy dispersive X-ray spectroscopy (EDS) demonstrated calcium and phosphate deposition within the IOL optic.

참고문헌 (35)

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