ISSN: 1300-0365
Dil: Türkçe
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Histopatological Evaluation Of Perilenticular
Ayşe NURÖZLER*, Sunay DUMAN**, IlgazYALVAÇ***, Hüseyin ÜSTÜN****
* Uz.Dr.,SB Ankara Hastanesi Göz Kliniği, Başasist.,** Uz.Dr.,SB Ankara Hastanesi Göz Kliniği, Şefi,*** Doç.Dr.,SB Ankara Hastanesi Göz Kliniği, Başasist.,**** Doç.Dr.,SB Ankara Hastanesi Patoloji Kliniği, Şefi, ANKARA
Fifty-one year old alcoholic male patient presented with a corticonuclear cataract, lens subluxation and pseudoexfoliation, lens extraction with anterior vitrectomy and anterior chamber intraocular lens (IOL) implantation was performed in March 1995. In the postoperative 15th day he was reoperated due to blunt trauma, anterior segment restoration, anterior vitrectomy and anterior chamber IOL exchange was done. He returned 15 months later with decreased vision. Anterior segment evaluation revealed the presence of a dense perilenticular membrane on the surface of the anterior chamber IOL. The patient was reoperated. IOL was explanted, anterior vitrectomy and secondary posterior chamber IOL implantation with transscleral suturing technique was performed. The histopatological evaluation of the membrane on the surface of the IOL showed a collagenated connective tissue, proliferated fibroblasts with melanosites and diagnosed as Cocoon membrane.
Perilenticular membrane may develop as a complication in complicated cataract surgery, especially in patients with dense deposits on the surface of the IOL and iris destruction.Keywords: Intraocular lens implantation,
Perilenticular membrane,
Peripseudophakic membrane,
Cocoon membraneTurkiye Klinikleri J Ophthalmol 1998, 7:291-294
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