The Use of Intravitreal Thrombin to Control Hemorrhage During Vitrectomy

John T. Thompson, Bert M. Glaser, Ronald G. Michels, Serge De Bustros

Research output: Contribution to journalArticlepeer-review

Abstract

The ability of intravitreal bovine thrombin to control intraoperative bleeding was investigated by a prospective double blind study of 28 consecutive patients with vascularized preretinal membranes undergoing vitrectomy for diabetic retinopathy. Addition of thrombin (100 units/ml) to the vitrectomy infusate was associated with a significantly reduced intraocular bleeding time after cutting vascularized membranes. The mean bleeding time without thrombin was 111.5 seconds, compared to 12.3 seconds with intravitreal thrombin (P < 0.0001). Patients receiving thrombin had less overall bleeding during surgery and less vitreous hemorrhage on the second postoperative day. Intravitreal bovine thrombin was associated with increased postoperative intraocular inflammation in 20% of patients receiving thrombin. This inflammation could be controlled by use of frequent topical steroids.

Original languageEnglish (US)
Pages (from-to)279-282
Number of pages4
JournalOphthalmology
Volume93
Issue number3
DOIs
StatePublished - Jan 1 1986

Keywords

  • bleeding
  • bleeding time
  • diabetes
  • diabetic retinopathy
  • hemorrhage
  • intravitreal thrombin
  • thrombin
  • vitrectomy
  • vitreous

ASJC Scopus subject areas

  • Ophthalmology

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