양안 선천백내장 환아에서 이차 후방인공수정체삽입술의 임상결과

• 영문명: Clinical Results of Secondary Intraocular Lens Implantation in Bilateral Congenital Cataract
• 발행기관: 대한안과학회
• 저자명: 김동현 김정훈 김성준 유영석,Dong Hyun Kim, M.D., Jeong Hun Kim M.D., Seong Joon Kim, M.D.,, Young Suk Yu, M.D.,
• 간행물 정보: 『대한안과학회지』Ophthalmological Society,volume49,number11, 1752~1758쪽, 전체 7쪽
• 주제분류: 의약학 > 기타의약학
• 파일형태: PDF
• 발행일자: 2008.11.15

영문 초록

Purpose: To evaluate the long-term visual outcomes of secondary posterior chamber intraocular lens implantation after 2 years of age for bilateral congenital cataract. Methods: A retrospective case review was conducted of 42 pediatric patients who were diagnosed with bilateral congenital cataract and underwent irrigation and aspiration of lenses, posterior capsulectomy, anterior vitrectomy, and after two years of age secondary posterior chamber intraocular lens implantation. Results: The median age at irrigation and aspiration of the lens was 21 weeks; the median age at secondary intraocular lens implantation was 5.5 years; the median age at the last follow-up was 11.1 years. The final visual acuities were 0.42 in the better eye and 0.23 in the fellow eye. The median refractive error at the final follow-up was -2.5 diopters of spherical equivalent, and 1.2 diopters in the amount of astigmatism. For all cases, no posterior capsule opacification, intraocular lens dislocation, or retinal detachment was found. There were 16 postoperative glaucoma patients (19.0%), and their intraocular pressures were well controlled with medical therapy. Conclusions: Secondary posterior chamber intraocular lens implantation performed after two years of age can be an effective therapy for visual development in patients with bilateral congenital cataract undergoing irrigation and aspiration of the lens, posterior capsulectomy, anterior vitrectomy, and aphakic spectacle correction. J Korean Ophthalmol Soc 2008;49(11):1752-1758

키워드

Bilateral congenital cataract, Final best corrected visual acuities, Glaucoma, Secondary posterior chamber intraocular lens insertion