Olsen TW, Sternberg P, Martin DF, Capone A, Lim JI, Aaberg TM. Postoperative hypopyon after intravitreal bovine thrombin for macular hole surgery.
Am J Ophthalmol 1996;
121:575-7. [PMID:
8610806 DOI:
10.1016/s0002-9394(14)75437-6]
[Citation(s) in RCA: 16] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/31/2023]
Abstract
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.
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