Özet:

The development of corneal penetration associated with the pediatric traumatic cataracts occurring, with medical treatment not reversible resistant fibrin reaction after the application of tPA to show that the fibrin reaction has disappeared.The five-year-old boy after the fall the left eye was sent to our clinic with a pre-diagnosis of corneal penetration from the outer center with the history of demire crash.The left eye in the examination was hypotonic with GK perception positive P+ , eye pressure with GIB palpation. In the front segment examination, cornea was present with corneal penetration, iris prolapsus, front chamber fluidity, traumatic cataracts and lens front capsule perforation, which extended between 5-8 hours in the form of limbustan limbusa foam. The patient's penetration and cataract surgery after the high sight of the GIB, the development of the fibrin membrane and the medical treatment supplement Nd:yag laser membranotomy did not respond to the fibrin cleaning from the front room was done. In addition, 25 μg/0.1 ml tPA was applied to the front room. In the postoperative examination, the fibrin membrane was observed completely retarded, the GK of 0.2, the GIB was normotone with palpation.In a few cases after complicated cataract surgery, the fibrin membrane in the front room could develop. In selected cases, intrakameral tPA can be applied to the resistant fibrin membrane, it is therapeutic and can be used safely due to its low side effects rate.

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