Anterior Chamber Fibrin Reaction After Sing Imt Telescope Implantation
Published 2024 - 42nd Congress of the ESCRS
Reference: PO430 | Type: Poster | DOI: 10.82333/x97b-g953
Authors: Lorenzo De Angelis* 1 , Francesco Barca 2
1Ophthalomology,ASL toscana Centro, Ophthalomology, Florence, Italy,Florence,Italy, 2Ophthalomology,ASL toscana Centro,Florence,Italy
Purpose
To report the management of anterior chamber fibrin reaction after SING- IMT telescope implantation
Setting
Palagi Hospital ASL Toscana Centro Firenze, Italy
Methods
Case report
Results
An 83-year-old-woman developed a marked anterior chamber fibrin reaction, with conjunctival hyperemia and chemosis, the first day after lens extraction and smaller-incision new-generation implantable miniature telescope (SING IMT) implantation for late-stage age-related macular degeneration. Anterior segment OCT showed a dense fibrin clot over the telescope with some strands attached to the corneal endothelium. A subtenon injection of 420 mg Triamcinolone acetonide was performed. After 2 -days, there was a reduction in conjunctival hyperemia and chemosis, along with partial resolution of anterior chamber fibrin
Conclusions
Anterior chamber fibrin reaction, though rare, can manifest following implantation procedures such as SING IMT for late-stage age-related macular degeneration. Prompt recognition and intervention, such as subtenon injection of Triamcinolone acetonide, have shown efficacy in addressing symptoms and resolving fibrin accumulation