운동축을 삽입한 하이드록시아파타이트 안와삽입물에서 발생한 방선균증 2예

• 영문명: Two Cases of Actinomyces Infection in a Hydroxyapatite Orbital Implant with a Motility Peg
• 발행기관: 대한안과학회
• 저자명: 이민규 우경인 김윤덕,Min Gyu Lee, MD, Kyung In Woo, MD, PhD, Yoon Duck Kim, MD, PhD
• 간행물 정보: 『대한안과학회지』Ophthalmological Society,volume55,number5, 755~760쪽, 전체 6쪽
• 주제분류: 의약학 > 기타의약학
• 파일형태: PDF
• 발행일자: 2014.05.15

영문 초록

Purpose: To report 2 cases of Actinomyces infection in a hydroxyapatite orbital implant with a motility peg. Case summary: A 44-year-old male and a 55-year-old male who underwent evisceration and implantation of a hydroxyapatite implant in the left eye 17 and 15 years prior, respectively, presented with a conjunctival sac granuloma with discharge and bleeding of 1 year duration. Both patients had a history of motility peg implantation. A large-area of the hydroxyapatite implant was exposed after removal of the granuloma. The previous orbital implant was removed, and the exposed area was covered with a dermis fat graft in both patients. On histopathological examination, Actinomyces infection in the orbital implant was observed in both patients. Conclusions: To the best of our knowledge, this is the first case report of actinomycosis of hydroxyapatite orbital implant in Korea. In a patient with a porous orbital implant, the possibility of Actinomyces infection of the orbital implant should be considered after a long-duration and large-area exposure of the implant. J Korean Ophthalmol Soc 2014;55(5):755-760

키워드

Actinomyces, Hydroxyapatite, Motility peg, Orbital implant, Pyogenic granuloma