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유리체절제술 후 발생한 의인성 수정체유발녹내장

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Author(s)
Yu Cheol KimSoo Jin LeeKyung Tae Kang
Keimyung Author(s)
Kim, Yu CheolLee, Soo JinKang, Kyung Tae
Department
Dept. of Ophthalmology (안과학)
Journal Title
J Retin
Issued Date
2021
Volume
6
Issue
2
Keyword
EndophthalmitisGlaucomaVitrectomy
Abstract
Purpose:
To report a case of iatrogenic lens-trauma-induced glaucoma with pseudohypopyon after pars plana vitrectomy, which is a rare presentation that is often confused with postoperative endophthalmitis.

Case summary:
A 63-year-old male presented with uncontrolled intraocular pressure with suspected postoperative endophthalmitis in the right eye. The intraocular pressure was 50 mmHg, and slit-lamp examination revealed inflammatory cells, multiple iridescent crystalline materials in the anterior chamber, and a blood-tinged pseudohypopyon, resulting in a diagnosis of iatrogenic lens-induced glaucoma secondary to posterior capsular break during pars plana vitrectomy. Phacoemulsification, pars plana lensectomy with vitrectomy, and intraocular lens implantation in the sulcus using the optic capture technique were performed. Intraoperatively, a linear posterior capsular break was identified as expected. One month postoperatively, the patient's visual acuity improved to 20/20, and the intraocular pressure was 8 mmHg without any medication.

Conclusions:
Iatrogenic crystalline lens damage during pars plana vitrectomy can induce glaucoma, which can be confused with postoperative endophthalmitis owing to the presence of a pseudohypopyon, and the two diseases should be differentiated from each other.
Alternative Title
Iatrogenic Lens Trauma-induced Glaucoma Following Pars Plana Vitrectomy
Keimyung Author(s)(Kor)
김유철
이수진
강경태
Publisher
School of Medicine (의과대학)
Citation
Yu Cheol Kim et al. (2021). 유리체절제술 후 발생한 의인성 수정체유발녹내장. J Retin, 6(2), 136–138. doi: 10.21561/jor.2021.6.2.136
Type
Article
ISSN
2508-1926
Source
http://www.e-retina.or.kr/journal/view.html?doi=10.21561/jor.2021.6.2.136
DOI
10.21561/jor.2021.6.2.136
URI
https://kumel.medlib.dsmc.or.kr/handle/2015.oak/43865
Appears in Collections:
1. School of Medicine (의과대학) > Dept. of Ophthalmology (안과학)
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