Dissolution of pseudophakic fibrinous exudate with intraocular streptokinase

Abstract

A fibrinous exudate developed in 8 children after cataract extraction. Blunt trauma was the cause of cataract formation in 6 children; the other 2 presented with congenital cataract. In 4 of 6 children with traumatic cataract, iris damage was evident. Seven children had an intraocular lens implanted. The development of fibrinous exudate in the anterior chamber was noted despite routine post-operative topically administered steroids. It typically formed 1-4 days after surgery. In all cases topical fortified steroids were unsuccessful in hastening dissolution. Intracameral injection of streptokinase (500-1000 IU) caused dissolution of fibrin in all cases. No adverse effects were apparent clinically with intraocular administration of streptokinase.

Glue microapplicator for perforating injuries of the lens capsule

“…3,5 We would like to share our experience in managing total aniridia and aphakia with an aniridia intraocular lens (IOL) implanted with the glued IOL technique. [6][7][8] The glued iris prosthesis we use is a poly(methyl methacrylate) (PMMA) aniridia IOL of ocular vision lens style ANI5 (Intra Ocular Care Pvt. Ltd.) (Figure 1).…”