Fibrin Membrane Pupillary-Block Glaucoma After Uneventful Cataract Surgery Treated with Intracameral Tissue Plasminogen Activator: A Case Report
| Autor: | Kadir Eltutar, Fatma Esin Ozdemir, Nurhan Dinçer, Tülay Alpar Akçetin |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2015 |
| Předmět: |
medicine.medical_specialty
tissue plasminogen activator biology genetic structures business.industry medicine.medical_treatment Pupillary block glaucoma lcsh:R lcsh:Medicine cataract surgery Cataract surgery Tissue plasminogen activator Fibrin eye diseases Ophthalmology Fibrin membrane medicine biology.protein pupillary block glaucoma sense organs business ultrasound biomicroscopy medicine.drug |
| Zdroj: | İstanbul Medical Journal, Vol 16, Iss 1, Pp 42-44 (2015) |
| ISSN: | 2619-9793 |
| Popis: | Objective: To evaluate the diagnostic and therapeutic methods of fibrindependent pupillary-block glaucoma (PBG).Methods: A 79-year-old male patient with hypertension was admitted to hospital with symptoms of pain and redness 6 days after an uneventful cataract surgery.Results: He had acute elevation of intraocular pressure with a shallow anterior chamber. Because of severe corneal edema, the anterior chamber details could not be distinguished. After systemic and topical antiglaucoma treatment, corneal edema was reduced and a complete fibrin membrane was observed across the pupil on slit lamp examination. A complete fibrin membrane across the pupillary space, shallow anterior chamber, and deep posterior chamber was confirmed by ultrasonic biomicroscopy (UBM). The intraocular lens (IOL) was actually displaced posteriorly, with a large clear space between the IOL and iris. Despite topical and subconjunctival corticosteroid therapy as well as Nd:YAG laser membranotomy, the fibrin membrane was not resolved. Tissue plasminogen activator (tPA) (25 μg) was injected intracamerally and the fibrin membrane was completely dissolved, improving the pupillar block.Conclusion: Anterior segment imaging techniques, especially UBM, are a powerful diagnostic technique for differentiating the technique for the analysis of the mechanisms underlying acute angle-closure glaucoma mechanism. Fibrin-dependent PBG was successfully treated with an intracameral injection of tPA. |
| Databáze: | OpenAIRE |
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