Transvitreal fibrinoid reaction

Author:

Sinha Ayushi1,Dodla Manaswini1

Affiliation:

1. Department of Vitreo-Retina Services, Aravind Eye Hospital, Puducherry, India

Abstract

Transvitreal fibrin web is an uncommon consequence of pars plana vitrectomy, seen predominantly in diabetic patients. It is an early postoperative response and is treated with topical corticosteroids, although some cases may warrant the use of tissue plasminogen activator intravitreally, or re-surgery as in our case. Fibrin web should be differentiated from endophthalmitis so as to avoid panic and improper management.

Publisher

Medknow

Subject

General Medicine

Reference9 articles.

1. Fibrinoid syndrome: A severe complication of vitrectomy surgery in diabetics;Sebestyen;Ann Ophthalmol,1982

2. Vitrectomy: A pars plana approach;Machemer;Trans Am Acad Ophthalmol Otolaryngol,1971

3. Clinical and research aspects of subtotal open-sky vitrectomy: XXXVII Edward Jackson Memorial lecture;Schepens;Am J Ophthalmol,1981

4. Characterization of retinal leukostasis and hemodynamics in insulin resistance and diabetes;Abiko;Diabetes,2003

5. Panretinal photocoagulation induces pro-inflammatory cytokines and macular thickening in high-risk proliferative diabetic retinopathy;Shimura;Graefes Arch Clin Exp Ophthalmol,2009

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