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INTRACAMERAL STREPTOKINASE TO TREAT SEVERE PUPILLARY FIBRIN MEMBRANE AFTER PARTIAL PENETRATING KERATOPLASTY

Pars/ye/ Penetran Keratoplasti Sonrası Gelişen Pupiller Membranın Tedavisinde Intrakameral Streptokinaz Uygulaması

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Abstract (2. Language): 
Herpetik stromal keratit nedeniyle korneal kesafet ve damar/anması olan bir göze parsiyel penetran keratoplasti uygulanmış ve bu işlemi takiben postoperatif erken dönemde şiddetti bir pupiller membran gelişmiştir. Pupiller membranın medikal tedaviye yanıt vermemesi nedeniyle, postoperatif dördüncü günde ön kameraya streptokinaz uygulanmış ve iki gün içerisinde pupiller membran bütünüyle düzelmiştir. Bu yazıda, dirençii pupiller membran tedavisinde streptokinazın etkin i iğ i ele alınmıştir.
Abstract (Original Language): 
In an eye that has undergone partial penetrating keratoplasty (PPK) due to central corneal opacity and vascularization due to herpetic stromal keratitis, an excessive pupillary fibrin membrane developed postoperatively. Since there was no regression in the pupillary membrane during four days follow-up period, streptokinase was injected into the anterior chamber and the pupillary fibrin membrane resolved totally in two days. In this case report, the efficacy of streptokinase in the treatment of refractory pupillary fibrin membrane is discussed.
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REFERENCES

References: 

1. Nishi O, Nishi K. Fibrin reaction after posterior chamber lens implantation. Eur J Ref Sur 1992; 40: 73-96.
2. Spitznas M, Werdermann D, Böker T. Fibrinous reaction occurs until 8 days after intraocular lens implantation (letter). Arch Ophthalmol 1990; 108: 1666.
3. Myake K, Maekubo K, Miyake Y, Nishi O. Pupillary fibrin membrane: A frequent early complication after postrerior chamber lens implantation. Japan Ophthalmology 1989; 96: 1228¬33.
4. Johnson RN, Blankenship GA. Prospective, randomized, clinical trial of heparin therapy for postoperative intraocular fibrin. Ophthalmology 1988; 95: 312-7.
5. Cherfan GM, Maghraby AE ,Tabbara KF, Nasr Y, Hassan H. Dissolution of intraocular fibrinous exudate by streptokinase. Ophthalmology 1991; 98:870-4.
6. Miyake K. The significance of inflamatory reactions following cataract extraction and intraocular lens implantation. J Cataract Refract Surg 1996; 22 supplement:759-63.
7. Snyder RW, Sherman MD, Allinson RW. Intracameral tissue plasminogen activator for treatment of excessive fibrin response after penetrating keratoplasty. Am J Ophthalmol 1990; 109: 483¬4.
8. Boldt HC, Abrahams GW, Murray TG, Han DP, Mieller WF. The lowest effective dose of tissue plasminogen activator for fibrinolysis of postvitrectomy fibrin. Retina 1992; 12: 75-9.
9. William GA, Lambrou FH, Jaffe GH. Treatment of postvitrectomy fibrin formation with intraocular tissue plasminogen activator. Arch Ophthalmol 1988; 106: 1055-8.
10. Klais CM, Hattenbach LO, Steinkamp GWK, Zubcov AA, Kohnen T. Intraocular recombinant tissue-plasminogen activator fibriolysis of fibrin formation after cataract surgery in children. J Cataract Refract Surg 1999; 25: 357-62.
11. Mullaney PB, Wheeler DT, Al Nahdi T. Dissolution of pseudophakic fibrinous exudate with intraocular streptokinase. Eye 1996; 10: 362-6.
12.
Akkı
n C, Menteş J, Kaşkaloğlu M, Erbakan G, Köse S. intracameral streptokinaz enjeksiyonunun psödofakik fibrinoid membranlı gözdeki terapötik etkisi.T Oft Gaz 1994 ; 24: 347-2.

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