백내장수술 중 발생한 친수인공수정체의 급성 혼탁 2예
Two Cases of Intraoperative Acute Opacification of Hydrophilic Intraocular Lens
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목적: 백내장수술 중 발생한 친수인공수정체의 급성 혼탁 2예를 보고하고자 한다. 증례요약: (증례 1) 67세 여자 환자가 양안 시력저하를 주소로 내원하였다. 세극등현미경 검사상 좌안의 핵경화성백내장이 관찰되어 좌안 백내장초음파유화술을 시행하였다. 친수인공수정체 삽입술 시행 직전 육안상으로 인공수정체가 문제 없음을 확인하였다. 수정체낭 내로 삽입한 직후 인공수정체 광학부(optic) 전체에 백색 혼탁이 일어났다. 인공수정체를 교체하지 않고 그대로 수술을 마무리하였고, 수술 다음 날 인공수정체 광학부 혼탁이 완전히 소실된 것을 확인하였다. (증례 2) 65세 남자 환자가 좌안의 시력저하를 주소로 내원하였다. 마찬가지로 좌안의 핵경화성백내장이 관찰되어 좌안 백내장초음파유화술을 시행하였고, 수정체낭 내로 삽입한 직후, 인공수정체 광학부의 백색 혼탁이 발생하였다. 수술 다음 날 광학부 혼탁이 완전히 사라진 것을 관찰하였다. 결론: 급격한 온도 변화로 인한 수술 중 인공수정체 급성 혼탁이 올 경우 인공수정체를 제거하지 않아도 추후 혼탁의 소실과 인공수정체의 정상적인 기능을 기대할 수 있다. 또한 인공수정체를 보관함에 있어 적정 온도를 유지하여 수술 중 인공수정체의 급성 혼탁을 예방할 수 있을 것으로 사료된다.
Abstract
Purpose: In the present study, two cases of intraoperative acute opacification of hydrophilic intraocular lens were reported. Case summary: (Case 1) A sixty-seven year-old female presented with chronic visual impairment. Slit lamp examination revealed nuclear cataract of the left eye. Cataract surgery for her left eye was performed. A hydrophilic intraocular lens was checked before implantation and no defect was noted. Immediately after the implantation of the intraocular lens, acute whitish opacification of the intraocular lens occurred. However, the intraocular lens was not explanted, and the opacification cleared after one day. (Case 2) A 65 year-old male presented with chronic visual impairment of the left eye. Nuclear cataract of his left eye was noted, and he went through cataract surgery of the left eye. After the implantation of intraocular lens, acute whitish opacification of the intraocular lens was noted but it disappeared a day after. Conclusions: Intraoperative acute opacification of intraocular lens seems to occur due to radical temperature change. There is no need to remove or exchange the intraocular lens as opacification tends to clear within a day. No structural or mechanical change of intraocular lens was noted after opacification. Careful management of temperature for intraocular lens storage is necessary for prevention of intraoperative intraocular lens clouding.
참고문헌 (11)
- Taskapili M, "The results of exchange surgery in the eyes with opacified intraoculerintraocular lens", Glo-Kat, 3, pp.15~19 (2008)
- Ozcetin H, "Clinic in pseudocataract", T Oft Gaz, 36, pp.229~233 (2006)
- Izak AM, "Calcification of modern foldable hydrogel intraocular lens designs", Eye (Lond), 17, pp.393~406 (2003)[DOI]
- Neuhann IM, "Late postoperative opacification of a hydrophilic acrylic (hydrogel) intraocular lens: a clinicopathological analysis of 106 explants", Ophthalmology, 111, pp.2094~2101 (2004)[DOI]
- Pandey SK, "Calcium precipitation on the optical surfaces of a foldable intraocular lens: a clinicopathological correlation", Arch Ophthalmol, 120, pp.391~393 (2002)[DOI]
- Tehrani M, "Late postoperative opacification of MemoryLens hydrophilic acrylic intraocular lenses: case series and review", J Cataract Refract Surg, 30, pp.115~122 (2004)[DOI]
- Chong Eun Lee, "Opacification of the Optic of an Akreos Adapt Intraocular Lens", Korean Journal of Ophthalmology, 24(6), pp.371~373 (2010), 대한안과학회
- Cao D, "Akreos Adapt AO Intraocular lens opacification after vitrectomy in a diabetic patient: a case report and review of the literature", BMC Ophthalmol, 16, pp.82~ (2016)[DOI]
- Tyagi P, "Intraoperative clouding of a posterior chamber intraocular lens", Int Ophthalmol, 31, pp.483~484 (2011)[DOI]
- Helvaci S, "Acute opacification of hydrophobic acrylic intraocular lens during implantation: result of temperature variation", Arq Bras Oftalmol, 78, pp.267~ (2015)[DOI]
- Liu Q, "Acute clouding of trifocal lens during implantation: a case report", BMC Ophthalmology, 17, pp.242~ (2017)[DOI]