第3巻 2007年10月　第4号

■症例から学ぶ

眼に優しい白内障手術の実現
鈴木　久晴, 志和　利彦, 高橋　浩
日本医科大学大学院医学研究科感覚器視覚機能医学眼科学

Achievement of Less Invasive Cataract Surgery
Hisaharu Suzuki, Toshihiko Shiwa and Hiroshi Takahashi
Department of Vision and Ophthalmology, Graduate School of Medicine, Nippon Medical School

Phacoemulsification and aspiration (PEA) has become the most popular type of cataract surgery. The safety of cataract surgery has been dramatically improved due to the development of surgical techniques and associated instruments. However, corneal endothelial damage still represents a serious complication, as excessive damage can lead to irreversible bullous keratopathy. Collision of lens fragments to corneal endothelium by turbulent flow causes physical breakdown of the endothelial cells. We report a case in which corneal endothelial damage occurred by the collision of lens fragments during phacoemulsification and aspiration. The outcome prompted us to perform safer operations with new surgical instruments.

日医大医会誌 2007; 3(4), 198-200

Key words
cataract surgery, phacoemulsification and aspiration, corneal endothelial damage, bullous keratopathy, surgical instruments

Correspondence to
Hisaharu Suzuki, Department of Ophthalmology, Nippon Medical School, 1-1-5 Sendagi, Bunkyo-ku, Tokyo 113-8603, Japan
E-mail：s5054@nms.ac.jp

受付：2007年7月25日　受理：2007年9月18日