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논문분류	춘계학술대회 초록집
제목	Case of Vision loss due to acute angle closure glaucoma after kidney transplantation
저자	Hae Ri Kim*, Won Jung Choi, Hong Jae Jeon, Young Rok Ham, Dae Eun Choi, Ki Ryang Na, Kang Wook Lee
출판정보	2016; 2016(1):
키워드	angle closure glaucoma , kidney transplantation
초록	Background: Glaucoma is optic neuropathy that can cause optic nerve damage and visual field loss. In kidney transplantation(KT), only few patient suffered from glaucoma. Although some studies reported that 12.5-20% of KT patient showed increased intraocular pressure, only a few patients diagnosed glaucoma. Although it is rare, glaucoma showed critical problem, including blindness. Ticho et al. reported that glaucoma after KT, resulting in visual field loss and disk cupping, blindness. We reported a case of glaucoma after KT, resulting in progression to visual loss. Methods: medical record review Results: Case: 65-year-old woman visited our hospital for cadeva donor kidney transplantation. 17 years ago, She was diagnosed of mesangial proliferative glomerulonephritis. 11 years ago, She loss the function of kidney. And Peritoneal dialysis was started and follow up was done since then. On admission day, cadaver KT was done. Immunosuppressants were mycophenolate, Tacrolimus and Prednisolone. 5th admission day, she complained blurred vision, but blurred vision was subsided soon. 14th admission day, she complained of left eye pain, and consulted to department of ophthalmology. She was diagnosed of acute closed-angle glaucoma, optic nerve damage and vitreous hemorrhage. Despite of medical therapy, 15th admission day, decreased vision was observed. Emergency iridotomy was done. The intraocular pressure of left eye was decreased and also, left eye pain relieved. However, the decreased vision (LS(-)) was not improved. Because the repeated pain of left eye, 23th admission day, Lt. post chamber lentectomy was done. 28th admission day, left eye pain occurred again. In suspicion of acute glaucoma attact, mannitol was administered and pain was subsided. However, decreased vision was not improved. Conclusion: .
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