アトピー性皮膚炎に伴う眼合併症

Ocular complications of atopic dermatitis

　アトピー性皮膚炎を合併した白内障患者16例22眼，網膜剥離12例14眼の手術自験例について検討した。白内障患者のうち14％に網膜剥離が合併しており，術前眼底透見不能例のうち40％に網膜剥離がみられた。網膜剥離の復位率は72％であり，初回手術時から高度の増殖性変化があった6眼の無水晶体眼では，その復位率は極端に低かった。後嚢破損のあった例の復位率も非常に低かったが，増殖性変化のない例では100％の復位率であった。アトピー性皮膚炎に合併した白内障における眼底検査の重要性と白内障，網膜剥離の合併した例の処置について考察した。

We evaluated a series of 36 eyes, 28 cases, of atopic dermatitis who underwent eye surgery in our department during the foregoing 6-year period. The series included 22 eyes, 16 cases, with cataract as the initial outstanding feature. In these 22 eyes, hypermature cataract was present in 7 eyes. Retinal detachment was detected in 3 of these 7 eyes after surgery. All the 3 eyes showed advanced prolifer-ative vitreoretinopathy (PVR). Keratoconus waspresent in 7.

Retinal detachment was initially present in 14 eyes, 12 cases, in the series. PVR was present in 6 eyes during the initial surgery. All these 6 eyes were aphakic without intact posterior capsule. Surgery was successful in 2 out of the 6 eyes. The overall success rate was 10 out of 14 eyes (72%)

The findings pinpoint the necessity to be on the lookout for retinal detachment in cataractous patients with atopic dermatitis.