NEW OPPORTUNITIES FOR USING FIBRINOLYTICS AND CORTICOSTEROIDS IN TREATMENT OF POSTOPERATIVE INFLAMMATORY COMPLICATIONS IN CATARACT SURGERY

Aim. To analyze the efficiency of new methods for administration of fibrinolytics and corticosteroids in treatment of postoperative inflammatory complications in cataract surgery. Materials and methods. During ten months of 2014, sixteen patients with the postoperative inflammation after cataract extraction were followed up. Results. In the early postoperative period after extraction of cataract, there occurred complications of inflammatory type on 16 eyes: on 10 eyes (0,78 %) - after 1275 ultrasonic cataract phacoemulsifications and on 6 eyes (2,62 %) - after 229 extra-and intracapsular cataract extractions. Complex of traditional antibacterial and anti-inflammatory therapy included fibrinolytic gemaze into the front camera and glucocorticosteroid diprospan into the subtenon space of the eye. Full arrest of inflammatory symptoms occurred on the day 2-3 after introduction of these drugs. Conclusions. Single administration of fibrinolytic into the front camera and corticosteroid into the subtenon space contributed to faster arrest of inflammatory process and prevention of endophthalmitis.

Cataract surgery, postoperative iridocyclitis, treatment