| 나병환자에서 무봉합 투명각막절개 백내장 수술 후 발생한 안내염 |
|
한대헌, 손희진, 김균형, 신경환, 남동흔 |
|
Department of Ophthalmology, Gachon University Gil Hospital, Incheon, Korea |
| Endophthalmitis after Clear Corneal Incision Cataract Surgery in a Patient with Leprosy |
|
Dae Heon Han, Hee Jin Sohn, Kyun Hyung Kim, Kyung Hwan Shyn, Dong Heun Nam |
|
|
| Abstract |
Purpose
To report a case of endophthalmitis which occurred two weeks after clear corneal incision cataract surgery in a patient with leprosy. Methods: A 71-years-old man visited our clinic because of visual disturbances in both eyes lasting several months. Therewere histories of leprosy, bronchial asthma, and chronic renal failure. We performed sutureless clear cornea phacoemulsification with posterior chamber intraocular lens implantation in the left eye. Eight days after the cataract surgery, best-corrected visual acuity (BCVA) was 0.4. On the postoperative 14 days, he presented with a sudden loss of vision and eyeball pain lasting 2 days and BCVA was 0.02. There were whitish membrane radiating to the anterior chamber from the clear corneal wound and hypopyon in the anterior chamber. On the eyeball ultrasonography, there were vitreous opacities. Results: Diagnosed with infectious endophthalmitis, we performed intravitreal antibiotics injection. Then, 23- gauge transconjunctival sutureless vitrectomy, anterior chamber irrigation and fibrinous membrane removal were performed. The previous clear corneal wound was sutured. BCVA was 0.5 and there was no evidence of recurrence on 2 months after vitrectomy. Conclusions: In patients with risk factors for infection such as leprosy, scleral or sutured corneal cataract incision should be used rather than unsutured clear corneal incision. (Korean J Optom Vis Sci 2009;8(1): 38-41) |
| Key Words:
Clear corneal cataract incision, Endophthalmitis, Leprosy |
|
PDF Links
Download Citation
