Heparin in the intraocular irrigating solution in pediatric cataract surgery

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dc.authoridBayramlar, Huseyin/0000-0002-8118-1151
dc.authorwosidBayramlar, Huseyin/I-5876-2013
dc.contributor.authorBayramlar, H
dc.contributor.authorTotan, Y
dc.contributor.authorBorazan, M
dc.date.accessioned2024-08-04T20:30:56Z
dc.date.available2024-08-04T20:30:56Z
dc.date.issued2004
dc.departmentİnönü Üniversitesien_US
dc.description36th Annual Meeting of the Turkish-Ophthalmology-Society -- MAY, 2002 -- Ankara, TURKEYen_US
dc.description.abstract\Purpose: To investigate the antiinflammatory effects of adding heparin sodium to the irrigating solution to prevent fibrinoid reaction and related long-term complications after pediatric cataract surgery. Setting: Department of Ophthalmology, Inonu University, Turgut Ozal Medical Center, Malatya, Turkey. Methods: Thirty eyes of 18 children who had cataract or other ocular surgery were included in the study. Bilateral cataract surgery was performed in 20 eyes of 10 children and bilateral secondary intraocular lens (IOL) implantation in 4 eyes of 2 children (Group 1). Four eyes of 4 children had unilateral cataract surgery and 2 eyes of 2 children with previous perforating eye injury had synechiotomy and pupilloplasty (Group 2). Heparin sodium was added to the irrigating solution during surgery in 12 left eyes of children with bilateral surgery (Group 1a) and in all eyes in Group 2. Heparin sodium was not added during surgery in 12 right eyes of children having bilateral surgery (Group 1b, control). Early and late postoperative intraocular reactions were recorded and compared. Results: In Group la (heparin added), 6 eyes had less fibrinoid reaction and fewer related complications such as posterior synechias, pupil irregularity, and intraocular lens (IOL) decentration than the fellow right eyes. No eye in Group la having primary cataract surgery had hyphema or intraocular bleeding. Hyphema occurred on the first postoperative day in 1 eye in Group 1 a that had secondary IOL implantation. Conclusions: Adding heparin sodium to the irrigating solution decreased postoperative inflammatory and fibrinoid reactions and related complications such as synechias, pupil irregularity, and IOL decentration in pediatric cataract surgery. However, the use of heparin during surgery can be risky in eyes with a defective blood-aqueous barrier such as after previous ocular surgery.en_US
dc.description.sponsorshipTurkish Ophthalmol Socen_US
dc.identifier.doi10.1016/j.jcrs.2004.07.003
dc.identifier.endpage2169en_US
dc.identifier.issn0886-3350
dc.identifier.issn1873-4502
dc.identifier.issue10en_US
dc.identifier.pmid15474831en_US
dc.identifier.scopus2-s2.0-4944239490en_US
dc.identifier.scopusqualityQ1en_US
dc.identifier.startpage2163en_US
dc.identifier.urihttps://doi.org/10.1016/j.jcrs.2004.07.003
dc.identifier.urihttps://hdl.handle.net/11616/94617
dc.identifier.volume30en_US
dc.identifier.wosWOS:000224719200036en_US
dc.identifier.wosqualityQ1en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherElsevier Science Incen_US
dc.relation.ispartofJournal of Cataract and Refractive Surgeryen_US
dc.relation.publicationcategoryKonferans Öğesi - Uluslararası - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectPostoperative Inflammationen_US
dc.subjectPoly(Methyl Methacrylate)en_US
dc.subjectLens Implantationen_US
dc.subjectChildrenen_US
dc.subjectSurfaceen_US
dc.subjectProliferationen_US
dc.subjectCapsulorhexisen_US
dc.subjectInhibitionen_US
dc.subjectAnterioren_US
dc.subjectFibrinen_US
dc.titleHeparin in the intraocular irrigating solution in pediatric cataract surgeryen_US
dc.typeConference Objecten_US

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