Intraoperative Fibrinous Reaction During Phacoemulsification With Posterior Chamber Intraocular Lens Implantation

67-year-old female who underwent phacoemulsification and posterior chamber intraocular lens (IOL) implantation and developed a rare fibrinous reaction intraoperatively. A fibrinous reaction was noticed at the end of surgery and was managed excellently This case report highlights the possible related mechanisms of such an event, such as disruption of the Blood-Aqueous Barrier (BAB), surgical trauma, and systemic disease. To reduce the risk of complications, close follow-up and prompt initiation of anti-inflammatory therapy are essential. Further studies are needed to investigate the predisposing factors to developing fibrinous reactions during cataract extraction

King kahled eye specilasit hospital, riyadh, saudi arabia 

case report

Intraopereative fibrnous reaction responding excellently to intracameral triamcinolone and postoperative topical predisnolone acetate 

Fibrinous reaction occurring immediately in the intraoperative period in an adult patient during cataract extraction is a rare event. we describe possible related factors responsible for the blood-aqueous breakdown in our study include surgical trauma and systemic disease. This case highlights the need for careful preoperative assessment and intraoperative monitoring to prevent, diagnose and treat such complications promptly. It is also essential to start anti-inflammatory therapy promptly to avoid further damage to the eye. Close follow-up of the patient is necessary to monitor the response to treatment. Further studies are needed to elucidate this condition's pathophysiology and identify the possible predisposing factors.