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망막박리 유리체절제술 후 가스충전 상태에서 발생한 망막중심동맥폐쇄 1례

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Author(s)
여영도김유철
Keimyung Author(s)
Kim, Yu Cheol
Department
Dept. of Ophthalmology (안과학)
Journal Title
Keimyung Medical Journal
Issued Date
2014
Volume
33
Issue
1
Keyword
Central retinal arterial occlusionGas tamponadeRetinal detachmentVitrectomy
Abstract
To introduce a case of Centeral Retinal Artery Occlusion in Gas Tamponade State after Viterctomy for the treatment of Retinal Detachment. A 47-year-old male patient with histories of LASEK surgery 15 years ago and cataract surgery 8 years ago visited our clinic with complaints of sudden visual disturbance in his right eye. He was diagnosed as regmatgenous retinal detachment and underwent pars plana vitrectomy, endolaser photocoagulation, 14% C3F8 gas tamponade, and subtenon triamcinolone injection. After the surgery, the retina was well attached and the visual acuity was improved from finger count 30cm at post-operative day 1 to 0.08 after the 2 weeks of surgery. Intraocular pressure was maintained 20~25 mmHg by Brimonidine/timolol eye drop treatment. The best corrected visual acuity was reduced to hand motion at post-operative day 15. Retinal arteriol attenuation and pale optic disc with 1/3 gas filled vitreous cavity was identified at post-operative day 30. Post-operative 2 years, visual acuity was non light perception with severe narrowing of arteriole and diffuse retinal pigment epithelial atrophy; no retinal vascular flow was observed on fluorescein angiography. Gas tamponade state after viterctomy for the treatment of retinal detachment at high myopia may be risk factors of central retinal artery occlusion.
Alternative Title
Centeral Retinal Artery Occlusion after Viterctomy with Gas Tamponade for Retinal Detachment: A Case Report
Keimyung Author(s)(Kor)
김유철
Publisher
Keimyung University School of Medicine
Citation
여영도 and 김유철. (2014). 망막박리 유리체절제술 후 가스충전 상태에서 발생한 망막중심동맥폐쇄 1례. Keimyung Medical Journal, 33(1), 78–82.
Type
Article
URI
https://kumel.medlib.dsmc.or.kr/handle/2015.oak/15635
Appears in Collections:
2. Keimyung Medical Journal (계명의대 학술지) > 2014
1. School of Medicine (의과대학) > Dept. of Ophthalmology (안과학)
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