Two episodes of anaphylaxis following exposure to hydroxypropyl methylcellulose during cataract surgery
Publikation: Bidrag til tidsskrift › Tidsskriftartikel › Forskning › fagfællebedømt
We report a case of immediate severe anaphylaxis to hydroxypropyl methylcellulose (HPMC) on 2 separate occasions during cataract surgery in a 71-year-old patient. Skin prick tests were positive for HPMC, a constituent of Ocucoat and Xylocaine gel, which were administered intraocularly during surgery. Skin prick tests were also positive for methylcellulose. Based on symptoms and clinical signs of anaphylaxis following 2 separate cataract operations together with positive prick tests to HPMC, HPMC is the most plausible cause of the reactions. The patient has since had uneventful surgery for a detached retina avoiding HPMC. This case stresses the importance of considering all medication given to patients as possible causes of an anaphylactic reaction.
Originalsprog | Engelsk |
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Tidsskrift | Journal of Cataract & Refractive Surgery |
Vol/bind | 39 |
Udgave nummer | 6 |
Sider (fra-til) | 948-951 |
ISSN | 0886-3350 |
DOI | |
Status | Udgivet - 2013 |
ID: 118829027