Postoperative hypopyon after intravitreal bovine thrombin for macular hole surgery

被引：24

作者：

Olsen, TW ^{[1
]}

Sternberg, P ^{[1
]}

Martin, DF ^{[1
]}

Capone, A ^{[1
]}

Lim, JI ^{[1
]}

Aaberg, TM ^{[1
]}

机构：

[1] EMORY UNIV,DEPT OPHTHALMOL,ATLANTA,GA 30322

来源：

AMERICAN JOURNAL OF OPHTHALMOLOGY | 1996年 / 121卷 / 05期

关键词：

D O I：

10.1016/S0002-9394(14)75437-6

中图分类号：

R77 [眼科学];

学科分类号：

100212 ;

摘要：

PURPOSE: We used intravitreal autologous fibrinogen with bovine thrombin for the surgical closure of macular holes in 60 cases. METHODS: Pars plana vitrectomy with separation of the posterior cortical vitreous was performed after air/fluid exchange, One to two drops each of autologous fibrinogen and bovine thrombin (20 to 80 U) were instilled in each patient. RESULTS: Five (8%) of 60 patients developed a hypopyon without unusual pain on the first postoperative day. Inflammation responded to frequent topical corticosteroids within 48 to 72 hours. CONCLUSION: Postvitrectomy hypopyon after the use of bovine thrombin may represent an immune reaction that must be differentiated from endophthalmitis. We recommend careful observation and frequent topical corticosteroids.

引用

页码：575 / 577

页数：3