눈을 비빈 후 지지부 골절이 발생된 공막고정 인공수정체 1예

• 영문명: A Case of the Sclera-fixated Intraocular Lens with Haptic Fracture Developed After Rubbing the Eye
• 발행기관: 대한안과학회
• 저자명: 진정학 이상준 김신동,Jung Hak Jin, M.D., Sang Joon Lee, M.D., Shin Dong Kim, M.D.
• 간행물 정보: 『대한안과학회지』Ophthalmological Society,volume47,number6, 1000~1003쪽, 전체 4쪽
• 주제분류: 의약학 > 기타의약학
• 파일형태: PDF
• 발행일자: 2006.06.30

영문 초록

Purpose: We report one case of the sclera-fixated posterior chamber intraocular lens in which haptic fracture developed after rubbing the eye. Methods: A 72-year-old man visited our clinic because of diminished vision in his right eye after rubbing the eye. Four years previously, the posterior capsule was ruptured and the nucleus dropped into the vitreous cavity during phacoemusification at another hospital. The patient was transferred to our hospital where vitrectomy, lens nucleus removal and scleral fixation using a PMMA intraocular lens were performed. Results: The uncorrected visual acuity was finger count 30cm in the right eye and 0.8 in the left eye, and best-corrected visual acuity was 0.6 in the right eye. A dislocated intraocular lens was found at the inferonasal peripheral area in the vitreous cavity. The dislocated intraocular lens was removed through the corneal wound using injection of perfluorocarbon into the vitreous cavity, and then a PMMA intraocular lens with a haptic ring was inserted by scleral fixation. The haptic of the dislocated intraocular lens fixed at the superotemporal region had broken and a rough plane revealed in the electromicroscopic finding. We considered that impact rather than friction caused the haptic to break.

키워드

Dislocated IOL, Haptic Fracture, Sclera-fixated PCIOL