후방인공수정체 위치이상의 수술적 처치에 대한 임상 결과

• 영문명: Clinical Outcomes of the Surgical Management with Dislocated Posterior Chamber Intraocular Lens
• 발행기관: 대한안과학회
• 저자명: 신종훈 이지은 엄부섭,Jong Hoon Shin, MD, Ji Eun Lee, MD, PhD, Boo Sup Oum, MD, PhD
• 간행물 정보: 『대한안과학회지』Ophthalmological Society,volume53,number3, 420~427쪽, 전체 8쪽
• 주제분류: 의약학 > 기타의약학
• 파일형태: PDF
• 발행일자: 2012.03.15

영문 초록

Purpose: To evaluate the clinical outcomes of the surgical treatment in patients with dislocation of an intraocular lens (IOL). Methods: The present study investigated the postoperative naked visual acuity, corrected visual acuity, astigmatism, and postoperative complications in patients with a minimum follow-up of 1 month after the surgical treatment of a dislocated posterior chamber IOL. Results: The study included 48 eyes of 48 patients (32 males and 16 females) with an age ranging from 33 to 76 years with a mean of 56.7 years at initial visit. The mean time interval from cataract extraction and IOL implantation to dislocation of IOL was 4.9 years. The IOL was exchanged in 13 eyes and was repositioned in 35 eyes. The IOL was repositioned without tying in 11 eyes, by scleral fixation with tying inside the eye in 10 eyes, and by scleral fixation with tying outside the eyeball in 14 eyes. The mean naked visual acuity improved from 1.21 ± 0.70 to 0.70 ± 0.48 (p = 0.001) and the best corrected visual acuity improved significantly from 0.82 ± 0.68 to 0.35 ± 0.30 (p = 0.002). Among the repositioned IOLs managed by IOL repositioning using scleral fixation with tying inside the eye, 4 eyes re-dislocated. These eyes were re-treated for a second time with IOL repositioning and scleral fixation with tying outside the eye. Conclusions: Surgical management of dislocated IOLs resulted in significant improvement of visual acuity. Scleral fixation with tying inside the eye had a high risk of re-dislocation because of the difficulty in tightly securing the knot. J Korean Ophthalmol Soc 2012;53(3):420-427

키워드

Dislocated intraocular lens, Scleral fixation