Abstract:
PURPOSE:To describe the management with intracameral recombinant tissue plasminogen activator (rtPA) of severe fibrin effusion after phacoemulsification, and its prevention with sustained-release dexamethasone intravitreal implant. METHODS:A 59-year-old man with chronic HLA-B27-associated uveitis underwent phacoemulsification followed by a sustained-release dexamethasone intravitreal implant. RESULTS:A postoperative severe fibrin reaction was completely resolved after intracameral injection of rtPA. At the time of the phacoemulsification of the fellow eye, a dexamethasone implant was injected 5 days prior to surgery, with no fibrin formation. CONCLUSIONS:Intracameral rtPA may be successfully used in the management of severe fibrin reaction. Dexamethasone intravitreal implant to control postoperative inflammation may take several days until it achieves high concentrations in the vitreous.
journal_name
Eur J Ophthalmoljournal_title
European journal of ophthalmologyauthors
da Rocha Lima B,Pichi F,Nucci P,Srivastava SK,Lowder CYdoi
10.5301/ejo.5000442subject
Has Abstractpub_date
2014-07-01 00:00:00pages
626-8issue
4eissn
1120-6721issn
1724-6016pii
5420AB1C-4183-422B-933F-83C86EAF5DD8journal_volume
24pub_type
杂志文章abstract:PURPOSE:To report a case of presumed bilateral acute retinal necrosis with delayed onset caused by herpes simplex virus type 2, medical treatment, and surgical approach. METHODS:Retrospective, interventional case described in a 51-year-old patient who complained of unilateral blurred vision with history of nonoperated...
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journal_title:European journal of ophthalmology
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journal_title:European journal of ophthalmology
pub_type: 临床试验,杂志文章,随机对照试验
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