| 발표일자: |
2016년 11월 4일(금) ~ 11월 6일(일) |
| 발표번호: |
P(판넬)-054 |
| 발표장소: |
킨텍스 제2전시장 7B홀 |
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| 실리콘기름 주입술 후 황반의 내망막층 얇아짐과 관련된 시각상실 |
| 성균관대학교 의과대학 강북삼성병원 안과학교실 |
| 김인태, 김성호, 신대환, 이진영, 송수정, 배정훈 |
| 본문 : Purpose: To report a series of patients who experienced unexpected and permanent central visual loss after silicone oil tamponade.
Methods: Three patients with central visual loss after silicone oil tamponade were investigated. They underwent comprehensive ocular examinations including fluorescein angiography, optical coherence tomography (OCT), automated perimetry, and electrophysiologic examination.
Results: Three men (mean age, 38.7 years) had received surgical repair of rhegmatogenous retinal detachment (RD) with macular attached. Preoperative best-corrected visual acuity (BCVA) was 20/30 or better, but severe visual loss (5 Snellen lines or more) was encountered while silicone oil was in the eyes. There were no other complications associated with RD repair. Final BCVA was not improved after oil removal whereas the retina remained attached in all cases. OCT revealed loss of foveal depression and thinning of inner retinal layers, especially a ganglion cell layer. Electrophysiologic testing showed abnormalities with profound macular dysfunction.
Conclusions: Severe visual loss can be occurred after silicone oil tamponade in patients with good visual potential. The visual loss seems to be associated with a significant reduction in inner retinal thickness showing ganglion cell loss in the macula. |
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