DISSOLUTION OF PSEUDOPHAKIC FIBRINOUS EXUDATE WITH INTRAOCULAR STREPTOKINASE

A fibrinous exudate developed in 8 children after cataract extraction. Blunt trauma was the cause of cataract formation in 6 children; the o ther 2 presented with congenital cataract. In 4 of 6 children with tra umatic cataract, iris damage was evident. Seven children lied an intra ocular lens implanted. The development of fibrinous exudate in the ant erior chamber was noted despite routine post-operative topically admin istered steroids. It typically formed 1-4 days after surgery, In all c ases topical fortified steroids were unsuccessful in hastening dissolu tion, Intracameral injection of streptokinase (500-1000 IU) caused dis solution of fibrin in all cases. No adverse effects were apparent clin ically with intraocular administration of streptokinase.