Journal of the Korean Ophthalmological Society 2001;42(11):1571-1574.
Published online November 1, 2001.
Visual Prognosis and the Development of After-cataract following Cataract Surgery in Atopic Dermatitis.
Seung Sik Choi, Young Soo Yun, Seung Jeong Lim
1Department of Ophthalmology, College of Medicine, Pochon CHA University.
2Seran Eye Center.
아토피 피부염 환자에서 백내장 수술 후의 시력 예후와 후발백내장의 발생
최승식(Seung Sik Choi),윤영수(Young Soo Yun),임승정(Seung Jeong Lim)
Abstract
PURPOSE
To investigate the visual prognosis, the interval, and the rate of development of after-cataract following cataract surgery in atopic dermatitis. METHODS: Twenty eyes of 13 patients diagnosed as cataract associated with atopic dermatitis were operated between January, 1994 and January, 2000. Visual acuity, postoperative inflammatory reaction, the interval, and the rate of development of after-cataract were investigated and compared with the cataract cases without atopic dermatitis. RESULTS: The average preoperative best corrected visual acuity of 20 eyes was 0.23+/-0.22. The average postoperative best corrected visual acuity at 1, 2, 7, and 12 months after surgery were 0.78+/-0.23, 0.83+/-0.16, 0.78+/-0.23, 0.83+/-0.26, respectively. These values showed no significant difference compared to the postoperative visual acuity of the cataract cases without atopic dermatitis. Aqueous flares measured with laser flare meter were 15.09+/-9.20, 11.15+/-4.68, and 7.38+/-0.75 photon counts/millisecond at 10 days, 1, and 2 months after surgery, which did not seem to influence the final visual acuity and the development of after-cataract (p>0.05). Among the 20 eyes, 66.67% finally developed after-cataract and the average time interval of the development of after-cataract was 11.25+/-4.22 months. CONCLUSIONS: Visual prognosis following cataract surgery in atopic dermatitis is good, while after-cataract seems to develop more frequently and earlier compared to the cases without atopic dermatitis.
Key Words: After-cataract;Aqueous flare;Atopic dermatitis;Cataract;Visual prognosis


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