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https://hdl.handle.net/20.500.14094/90007525
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2024-05-04
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90007525 (fulltext)
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メタデータID
90007525
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open access
出版タイプ
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タイトル
A Rare Case of Lens-Induced Uveitis with Proliferative Vitreoretinopathy and Massive Encapsulation of Fallen Nuclear Material
著者
Inoue, Saki ; Imai, Hisanori ; Tetsumoto, Akira ; Otsuka, Keiko ; Nakamura, Makoto
著者名
Inoue, Saki
著者ID
A1428
研究者ID
1000090569211
KUID
https://kuid-rm-web.ofc.kobe-u.ac.jp/search/detail?systemId=2ef127360e8d1365520e17560c007669
著者名
Imai, Hisanori
今井, 尚徳
イマイ, ヒサノリ
所属機関名
医学部附属病院
著者名
Tetsumoto, Akira
著者名
Otsuka, Keiko
著者ID
A0882
研究者ID
1000080273788
KUID
https://kuid-rm-web.ofc.kobe-u.ac.jp/search/detail?systemId=82142348522a81ad520e17560c007669
著者名
Nakamura, Makoto
中村, 誠
ナカムラ, マコト
所属機関名
医学研究科
収録物名
Case Reports in Ophthalmology
巻(号)
11(2)
ページ
436-441
出版者
Karger
刊行日
2020-08
公開日
2020-10-13
抄録
We experienced a rare case of lens-induced uveitis (LIU) with severe proliferative vitreoretinopathy (PVR) diagnosed upon finding lens nuclear material encapsulated by intravitreal proliferative tissue. A 60-year-old man was referred to our hospital for the treatment of vision loss caused by unexplained uveitis in the right eye (OD). Seven months previously, a complicated cataract surgery that required unplanned anterior vitrectomy and transscleral suture of intraocular lens was performed on that eye at another clinic. Severe inflammation with dense vitreous opacity occurred in the OD postoperatively. Although topical and oral administration of steroids reduced the inflammation 7 months after the surgery, PVR with tractional retinal detachment was developed in the OD. Pars plana vitrectomy (PPV) was performed for the treatment and diagnosis. PPV revealed the presence of lens nuclear fragments within the vitreous, which was approximately 60% the ordinary nucleus size and was encapsulated by intravitreal proliferative tissue. The nuclear fragments were extracted from a superior corneoscleral flap. Intraocular inflammation was reduced with postoperative topical and oral steroid treatments and the retina remained reattached 1 year after the PPV. In conclusion, uveitis with an episode of a complicated cataract surgery may suggest LIU.
キーワード
Cataract surgery
Uveitis
Lens-induced uveitis
Proliferative vitreoretinopathy
Vitrectomy
カテゴリ
医学研究科
医学部附属病院
学術雑誌論文
権利
© 2020 The Author(s). Published by S. Karger AG, Basel.
This article is licensed under the Creative Commons Attribution-NonCommercial 4.0 International License (CC BY-NC) (http://www.karger.com/Services/OpenAccessLicense). Usage and distribution for commercial purposes requires written permission. The final, published version of this article is available at http://www.karger.com/?doi=10.1159/000508913
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資源タイプ
journal article
言語
English (英語)
eISSN
1663-2699
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NCID
AA12780966
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関連情報
DOI
https://doi.org/10.1159/000508913
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