File
Thumnail 091-096.pdf 424 KB
Authors
Keywords
fibrous pseudometaplasia
intravitreal silicone oil injection
lens epithelial cells
phagocytosed silicone oil deposits
transmission electron microscopy
Abstract
The subject patient (47-year-old male) had received silicone oil injection into the vitreous cavity of his left eye for the treatment of retinal detachment in 1986. Two months later, the silicone oil was removed from the vitreous cavity, as the retina was reattached. Soon after the operation, the lens of the eye gradually became opaque to mature cataract, and his left visual acuity had fallen to hand motion upon his present admission to the hospital. The lens epithelium obtained by anterior capsulotomy during the extracapsular cataract extraction was examined morphologically by transmission electron microscopy. Inside the anterior lens capsule, abnormal epithelial proliferation was observed. The epithelial cells changed their shapes from cuboidal to spindle, accompanied by new basal lamina-like substances around them. The spindle-shaped cells stretched like pseudopodia. The extracellular matrices were abundant and composed of collagen fibers. Fragments and dissolved materials of the fibers were also seen in some specimens. Lipid-like substances and myelin-like structures were often observed in the relatively well preserved cytoplasm. As a result, it is surmised that cataract formation after intravitreal silicone oil injection may be associated with fibrous pseudometaplasia of the lens epithelial cells and phagocytosed silicone oil deposits in the epithelial cells.
Publisher
Tottori University Faculty of Medicine
Content Type
Journal Article
ISSN・ISBN
1346-8049
NCID
AA00892882
Journal Title
Yonago Acta medica
Current Journal Title
Yonago Acta medica
Volume
40
Issue
2
Start Page
91
End Page
96
Published Date
1997-07
Text Version
Publisher
Rights
Yonago Acta medica 編集委員会
Citation
Yonago Acta medica. 1997, 40(2), 91-96
Department
Faculty of Medicine/Graduate School of Medical Sciences/University Hospital
Language
English