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要約 目的:白内障手術の術中にDescemet膜剝離が生じた症例の報告。対象:過去70か月間に白内障に対して超音波乳化吸引術と眼内レンズ挿入術を行った4,600眼のうち,手術操作に問題がなかったにもかかわらず,Descemet膜剝離が生じた6例7眼を対象とした。結果:Descemet膜剝離が生じた7眼すべてで,ビスコート®を使ったソフトシェル法が用いられていた。Descemet膜剝離は全例で超音波の終了時に角膜中央部に1~2か所発生した。Descemet膜剝離は最終的に全例で復位した。結論:ソフトシェル法による超音波白内障手術ではDescemet膜剝離が術中に生じる可能性がある。
Abstract. Purpose:To report cases who developed detachment of Descemet's membrane during cataract surgery. Cases and Method:This retrospective study was made on 7 eyes of 6 patients who developed detachment of Descemet's membrane out of 4,600 eyes that received uneventful phacoemulsification-aspiration during the past 70 months. Results:All the 7 eyes received soft shell technique using Viscoat®. Detachment of Descemet's membrane developed after application of ultrasound and was located in the central cornea. It eventually healed spontaneously. Conclusion:Detachment of Descemet's membrane is a liability during uneventful cataract surgery using soft shell method.
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