Intracameral tissue plasminogen activator: management of a fibrin clot occluding a Molteno tube.
We report the use of intracameral tissue plasminogen activator to dissolve a fibrin clot occluding a Molteno tube in the immediate postoperative period. This technique is an effective alternative to awaiting clot lysis or reoperation with minimal risk. The only complication was a small, layering hyphema.
Pastor
S A
SA
Glaucoma Care Center of the Midwest, Kansas City, Mo 64131.
Schumann
S P
SP
Starita
R J
RJ
Fellman
R L
RL
D000368:Aged; D001777:Blood Coagulation / Q000187:drug effects*; D002387:Cataract Extraction / Q000009:adverse effects; D005260:Female; D005337:Fibrin / Q000187:drug effects; D005342:Fibrinolysis; D005902:Glaucoma, Open-Angle / Q000150:complications; D006801:Humans; D007906:Lens Subluxation / Q000209:etiology / Q000601:surgery; D009798:Ocular Hypertension / Q000601:surgery; D011183:Postoperative Complications / Q000188:drug therapy*; D019736:Prostheses and Implants; D011994:Recombinant Proteins / Q000627:therapeutic use; D012826:Silicone Elastomers; D010959:Tissue Plasminogen Activator / Q000627:therapeutic use*
D011994:Recombinant Proteins; D012826:Silicone Elastomers; D005337:Fibrin; D010959:Tissue Plasminogen Activator