Effect of low molecular weight heparin (enoxaparin) on congenital cataract surgery

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dc.contributor.authorCaca, Ihsan
dc.contributor.authorSahin, Alparslan
dc.contributor.authorCingu, Abdullah Kursat
dc.contributor.authorAri, Seyhmus
dc.contributor.authorAlakus, Fuat
dc.contributor.authorCinar, Yasin
dc.date.accessioned2024-04-24T17:24:08Z
dc.date.available2024-04-24T17:24:08Z
dc.date.issued2012
dc.departmentDicle Üniversitesien_US
dc.description.abstractAIM: To assess the efficacy of intracameral enoxaparin (a low-molecular-weight heparin) infusion, in variable doses on postoperative inflammatory response in congenital cataract surgery. METHODS: It is a prospective, randomized controlled trial. Eighty eyes of 53 children with congenital cataract were enrolled in this study. Every eye had primary posterior capsulorrhexis and intraocular lens (IOL) implantation after lens aspiration. The eyes were divided into 4 equal groups. In group 1 balanced salt solution (BSS) without enoxaparin was used as an irrigation solution. Whereas in group 2, 3 and 4, 40mg, 20mg and 10mg enoxaparin in 500mL BSS was used respectively. The inflammatory response in the anterior chamber was compared among the groups with slit-lamp biomicroscopy. RESULTS: The mean follow-up period was (17.75 +/- 3.95) months in group 1, (18.00 +/- 5.15) months in group 2, (19.20 +/- 5.47) months in group 3 and (18.65 +/- 5.16) months in group 4. Mean number of inflammatory cells in the anterior chamber in group 1 was significantly higher than that of group 2, 3, 4 (P<0.001). There was fibrin formation in the anterior chambers of 3 eyes in group 1 and one eye in group 4. There was synechiae formation in 3 eyes of group 1 and one eye of group 4. There was no significant difference among the groups by means of fibrin or synechiae formation (P>0.05). There were IOL precipitates in 4 eyes of group 1 and 2 eyes of group 4. IOL precipitate formation was significantly higher in group 1 than that of group 2 and 3 in which there was no IOL precipitate (P=0.048). There was IOL subluxation in only one eye of group 1, 3 and 4 while no subluxation was observed in group 2 (P>0.05). There was no statistically significant difference detected about IOL subluxation occurance in all 4 groups (P>0.05). CONCLUSION: Complications of cataract surgery in congenital cataract patients associated with postoperative inflammatory response found to be decreased with the use of enoxaparin in intraocular infusion solutions. Furthermore according to our results the anti-inflammatory effect of enoxaparin was dose dependant.en_US
dc.identifier.doi10.3980/j.issn.2222-3959.2012.05.10
dc.identifier.endpage599en_US
dc.identifier.issn2222-3959
dc.identifier.issue5en_US
dc.identifier.pmid23166871
dc.identifier.scopus2-s2.0-84888006179
dc.identifier.scopusqualityQ2
dc.identifier.startpage596en_US
dc.identifier.urihttps://doi.org/10.3980/j.issn.2222-3959.2012.05.10
dc.identifier.urihttps://hdl.handle.net/11468/19447
dc.identifier.volume5en_US
dc.identifier.wosWOS:000310399900010
dc.identifier.wosqualityQ4
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoenen_US
dc.publisherIjo Pressen_US
dc.relation.ispartofInternational Journal of Ophthalmology
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectCongenital Cataracten_US
dc.subjectEnoxaparinen_US
dc.subjectInflammatory Responseen_US
dc.titleEffect of low molecular weight heparin (enoxaparin) on congenital cataract surgeryen_US
dc.titleEffect of low molecular weight heparin (enoxaparin) on congenital cataract surgery
dc.typeArticleen_US

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