腎移植後患者の白内障手術

Cataract surgery in patients with transplanted kidney

　腎移植後の白内障，6例11眼に嚢外水晶体摘出術を施行し，うち6眼に眼内レンズを移植した。術前合併症として糖尿病と高眼圧，術中合併症として後嚢破嚢と硝子体脱出，術後合併症として網膜剥離と軽度ブイブリン析出と前房出血と後発白内障を認めたが，全例に良好な術後視力を得た。今後，腎移植後患者の白内障に対する手術の機会は増加するものと考えられるが，手術は安全に施行でき，社会復帰の面から積極的に行い得ると考える。

We performed extracapsular cataract extraction in 11 eyes of 6 patients with transplanted kidney. Intraocular lens was implanted in 6 of these 11 eyes. All the cases were under systemic corticosteroid therapy at the time of cataract surgery. Diabetesmellitus and ocular hypertension were major presurgical associated features. Rupture of lens capsule and vitreous loss developed in one eye, followed by retinal detachment, fibrinous reaction and hyphema and aftercataract. Cataract surgery was otherwise free of troubles. Final visual acuity of 20/20 was obtained in all the eyes. The findings suggest that cataract surgery cna be performed safely in patients after renal transplantation.