망막박리 수술 후 발생한 척골신경병증 1예

• 영문명: Ulnar Neuropathy as a Complication of Retinal Detachment Surgery
• 발행기관: 대한안과학회
• 저자명: 선해정 백순철 최경식 이성진,Hae Jung Sun, MD, Soon Chul Baek, MD, Kyung Seek Choi, MD, PhD, Sung Jin Lee, MD, PhD
• 간행물 정보: 『대한안과학회지』Ophthalmological Society,volume50,number6, 942~945쪽, 전체 4쪽
• 주제분류: 의약학 > 기타의약학
• 파일형태: PDF
• 발행일자: 2009.06.15

영문 초록

Purpose: To report a case of ulnar neuropathy as an extraocular complication following retinal detachment surgery and facedown positioning. Case summary: A 65-year-old woman was referred to our hospital with decreased visual acuity in the left eye. Fundus examination revealed a rhegmatogenous retinal detachment not involving the macula in the left eye. A vitrectomy with scleral encircling and 18% SF6 gas tamponade was performed. The patient was instructed to assume a face-down position. After 5 days, the patient reported having paresthesia and numbness of the left 4th and 5th fingers. Neurologic exams were performed and the results indicated ulnar neuropathy. There was no improvement in the neurologic symptoms during the 6-month follow-up. Conclusions: Surgeons performing retinal surgery should caution their patients of ulnar neuropathy when face-down positioning is required. The patients should be instructed to minimize the time spent with their elbows flexed in a stationary position. Additionally, the pressure loaded on the bent elbow should be minimized.q

키워드

Face-down positioning, Gas tamponade, Retinal detachment, Ulnar neuropathy, Vitrectomy