대한안과학회지 (Journal of The Korean Ophthalmological Society)

  • 제59권12호
  • /
  • Pages.1185-1189
  • /
  • 2018
  • /
  • 0378-6471(pISSN)
  • /
  • 2092-9374(eISSN)
대한안과학회 (The Korean Ophthalmological Society)
권호 표지
DOI QR코드

DOI QR Code

위수정체안에서 발생한 외상무홍채증 1예

A Case of Isolated Traumatic Aniridia in a Pseudophakic Eye

  • Kwon, Mi Young (Department of Ophthalmology, Daegu Fatima Hospital) ;
  • Hong, Hye Jin (Department of Ophthalmology, Daegu Fatima Hospital) ;
  • Park, Dae Jin (Department of Ophthalmology, Daegu Fatima Hospital)
  • 투고 : 2018.02.22
  • 심사 : 2018.11.27
  • 발행 : 2018.12.15
⟨ 이전 논문 다음 논문 ⟩

초록

목적: 위수정체안에서 외상에 의하여 발생한 단독 무홍채증 1예를 경험하였기에 이를 보고하고자 한다. 증례요약: 69세 여자 환자가 계단에서 넘어져 우안 수상 후 우안 안구통 및 시력저하를 주소로 응급실에 내원하였다. 5년 전 본원에서 우안 이측 2.2 mm 투명각막절개창을 통해 백내장수술을 받은 환자였다. 백내장 창상 부위를 통하여 전체 홍채해리가 탈출되었으나 창상이 벌어지거나 후낭, 인공수정체의 손상은 없었다. 결론: 저자들은 국내에서 보고된 바 없는 증례인 위수정체안에서 외상에 의하여 발생한 단독 무홍채증 1예를 경험하였기에 이를 보고하는 바이다.

Purpose: We report a rare case of isolated traumatic aniridia in a pseudophakic eye. Case summary: A 69-year-old female came to our emergency department complaining of right eye pain and visual disturbance after trauma due to fall on the stairs. Five years earlier she had undergone an uncomplicated right sutureless phacoemulsification cataract extraction through a 2.2 mm temporal clear corneal incision, followed by insertion of a folding intracapsular intraocular lens. Total iris expulsion occurred through the cataract incision without extension of the wound or disruption of the posterior capsule or intraocular lens. Conclusions: We report a rare case of isolated traumatic aniridia in a pseudophakic eye, which has not been reported in the Republic of Korea.

키워드

참고문헌

  1. Kim HJ, Kwon JY. A clinical observation of perforating ocular injuries. J Korean Ophthalmol Soc 1989:30:123-30.
  2. Kwon JY, Cho HI. Perforating eye injuries in children. J Korean Ophthalmol Soc 1984;25:701-6.
  3. Romem M, Singer L. Traumatic aniridia. Br J Ophthalmol 1973;57:613-4. https://doi.org/10.1136/bjo.57.8.613
  4. Song KS, Yi GY. A case of traumatic complete aniridia with corneal laceration. J Korean Ophthalmol Soc 2000;41:2013-7.
  5. Kass MA, Lahav M. Albert DM. Traumatic rupture of healed cataract wounds. Am J Ophthalmol 1976;81:722-4. https://doi.org/10.1016/0002-9394(76)90352-4
  6. Magargal LE, Shakin E, Bolling JP, Robb-Doyle E. Traumatic extrusion of posterior chamber lenses: clinical and experimental correlations. J Cataract Refract Surg 1986;12:670-3. https://doi.org/10.1016/S0886-3350(86)80084-0
  7. Johns KJ, Sheils P, Parrish CM, et al. Traumatic wound dehiscence in pseudophakia. Am J Ophthalmol 1989;108:535-9. https://doi.org/10.1016/0002-9394(89)90430-3
  8. Assia EI, Blotnick CA, Powers TP, et al. Clinicopathologic study of ocular trauma in eyes with intraocular lenses. Am J Ophthalmol 1994;117:30-6. https://doi.org/10.1016/S0002-9394(14)73012-0
  9. Navon SE. Expulsive iridodialysis: an isolated injury after phacoemulsification. J Cataract Refract Surg 1997;23:805-7. https://doi.org/10.1016/S0886-3350(97)80296-9
  10. Lim JI, Nahl A, Johnston R, Jarus G. Traumatic total iridectomy due to iris extrusion through a self-sealing cataract incision. Arch Ophthalmol 1999;117:542-3.
  11. Ball J, Caesar R, Choudhuri D. Mystery of the vanishing iris. J Cataract Refract Surg 2002;28:180-1. https://doi.org/10.1016/S0886-3350(01)01026-4
  12. Prabhu A, Nayak H, Palimar P. Traumatic expulsive aniridia after phacoemulsification. Indian J Ophthalmol 2007;55:232-3. https://doi.org/10.4103/0301-4738.31952
  13. Sullivan CA, Murray A, McDonnel P. The long-term results of nonexpulsive total iridodialysis: an isolated injury after phacoemu lsification. Eye (Lond) 2004;18:534-6. https://doi.org/10.1038/sj.eye.6700710
  14. Allan BD. Mechanism of iris prolapse: a qualitative analysis and implications for surgical technique. J Cataract Refract Surg 1995;21:182-6. https://doi.org/10.1016/S0886-3350(13)80507-X
  15. Muzaffar W, O'Duffy D. Traumatic aniridia in a pseudophakic eye. J Cataract Refract Surg 2006;32:361-2. https://doi.org/10.1016/j.jcrs.2005.07.019
  16. Ball JL, McLeod BK. Traumatic wound dehiscence following cataract surgery: a thing of the past? Eye (Lond) 2001;15(Pt 1):42-4. https://doi.org/10.1038/eye.2001.11