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Udgivet

Two episodes of anaphylaxis following exposure to hydroxypropyl methylcellulose during cataract surgery

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Vis graf over relationer
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.
OriginalsprogEngelsk
TidsskriftJournal of Cataract & Refractive Surgery
Vol/bind39
Udgave nummer6
Sider (fra-til)948-51
Antal sider4
ISSN0886-3350
DOI
StatusUdgivet - jun. 2013

ID: 42207992