European journal of ophthalmology · 2007
Rapid development of band keratopathy of corneal graft associated with treatment with intracameral recombinant tissue plasminogen activator for postoperative fibrin reaction.
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Spitzer M S, Szurman P, Aisenbrey S, Rohrbach J M
Аннотация
PURPOSE: To report a corneal transplant complication associated with intracameral recombinant tissue plasminogen activator (rTPA) treatment of postoperative fibrin reaction.
METHODS: In a 71-year-old patient, a triple procedure was performed for perforated rheumatic ulcer and secondary cataract.
RESULTS: A dense band keratopathy developed rapidly within 36 hours after the use of intracameral injection of rTPA for the treatment of a dense fibrin clot.
CONCLUSIONS: This is the first report of rapid development of massive band keratopathy in a corneal graft after triple procedure and treatment with intracameral rTPA. Intracameral rTPA should be used with caution in patients with attenuated endothelium.
METHODS: In a 71-year-old patient, a triple procedure was performed for perforated rheumatic ulcer and secondary cataract.
RESULTS: A dense band keratopathy developed rapidly within 36 hours after the use of intracameral injection of rTPA for the treatment of a dense fibrin clot.
CONCLUSIONS: This is the first report of rapid development of massive band keratopathy in a corneal graft after triple procedure and treatment with intracameral rTPA. Intracameral rTPA should be used with caution in patients with attenuated endothelium.