원발성개방각녹내장 환자의 백내장수술 중 나타난 악성녹내장 유사 현상 1예

• 영문명: A Case of Malignant Glaucoma-like Phenomenon During Cataract Surgery
• 발행기관: 대한안과학회
• 저자명: 이상엽 박종운,Sang Yeop Lee, MD, Jong Woon Park, MD
• 간행물 정보: 『대한안과학회지』Ophthalmological Society,volume51,number8, 1150~1154쪽, 전체 5쪽
• 주제분류: 의약학 > 의학일반
• 파일형태: PDF
• 발행일자: 2010.08.15

영문 초록

Purpose: Malignant glaucoma is a rare complication of anterior segment surgery. The authors present a case of a malignant glaucoma-like phenomenon during cataract surgery in a primary open-angle glaucoma (POAG) patient. Case summary: A 74-year-old man with POAG underwent a cataract surgery in his left eye. After phacoemulsificiation, sodium hyaluronate was used to form the capsular bag for intraocular lens implantation. Following this procedure, the capsular bag space and anterior chamber became shallow. Intraocular pressure (IOP) elevated, and the shallowing of the anterior chamber and capsular bag space continued to a dangerous level. The surgical procedure was stopped and postponed for two days. After two days, IOL was successfully implanted in the posterior bag. Conclusions: Although the preoperative ophthalmologic examination failed to reveal a zonular problem, there was a possibility for a small area of zonular defect. A malignant glaucoma-like phenomenon was suspected to have occurred due to leakage of sodium hyaluronate or balanced salt solution into the vitreous through a small area of zonular dialysis. If a similar condition, occurs delayed surgery for IOL implantation would be more effective than vitrectomy or laser treatment. J Korean Ophthalmol Soc 2010;51(8):1150-1154

키워드

Cataract surgery, Hyaluronate sodium, Malignant glaucoma, Zonular dialysis