Transient, profound cataract associated with intracameral 5-fluorouracil.

Abstract:

PURPOSE:To report a transient cataract after bleb needling and subconjunctival injection of 5-fluorouracil. DESIGN:Observational case report. METHODS:A 51-year-old man had an encapsulated bleb after filtering surgery. The bleb was needled, and 5 mg of 5-fluorouracil was injected adjacent to the bleb. RESULTS:Within 5 minutes, vision fell to finger counting at 1 foot owing to anterior lens capsule opacification. The next day, acuity and lens clarity had returned to their preneedling status. Best-corrected acuity 7 months later was 20/15. CONCLUSION:Entry of 5-fluorouracil into the anterior chamber after bleb needling can cause transient lens opacification. Recently, intracameral 5-fluorouracil was reported as a new treatment for epithelial ingrowth. Given the transient cataract observed in this case, the use of 5-fluorouracil for epithelial ingrowth should be considered with caution for phakic patients.

journal_name

Am J Ophthalmol

authors

Libre PE

doi

10.1016/s0002-9394(02)01828-7

subject

Has Abstract

pub_date

2003-01-01 00:00:00

pages

101-2

issue

1

eissn

0002-9394

issn

1879-1891

pii

S0002939402018287

journal_volume

135

pub_type

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