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Asteroid Hyalosis that Caused Decreased Vision after Cataract Surgery
백내장수술 후 시력저하를 유발한 성상유리체증
JKOS 2020 Jan;61(1):107-10
Published online January 15, 2020;  https://doi.org/10.3341/jkos.2020.61.1.107
Copyright © 2020 The Korean Ophthalmological Society.
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Sang Min Lee, MD, Jeong Kyeong Jang, MD, Jaemoon Ahn, MD, PhD
이상민 · 장정경 · 안재문

Department of Ophthalmology, CHA Bundang Medical Center, CHA University, Seongnam, Korea
차의과학대학교 분당차병원 안과학교실
Received May 22, 2019; Revised September 4, 2019; Accepted December 30, 2019.
This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
 Abstract
Purpose: To report a patient with asteroid hyalosis, which induced reduction of the visual acuity after cataract surgery.
Case summary: A 79-year-old female with no ophthalmic history visited our clinic with decreased vision. Her best-corrected visual acuity in both eyes was 20/100 in the right eye and 20/60 in the left eye. She had senile cataract in both eyes, and asteroid hyalosis in the left eye. After cataract surgery, her visual acuity in the left eye decreased to finger count. There were no specific findings that could have caused the visual disturbance, except dense asteroid bodies on fundus examination. After removal of the asteroid bodies by vitrectomy, the best-corrected visual acuity of the left eye recovered to 20/20.
Conclusions: In patients with asteroid hyalosis, it is possible that decreased vision may be affected by changes of asteroid body properties in the vitreous gel after cataract surgery. The vision should improve after vitreous surgery.
Keywords : Asteroid body, Asteroid hyalosis, Cataract, Vitreous

 

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