%0 Case Reports
%T Utility of Anterior Segment OCT in the Management of Uveitic Cataract Surgery: A Fibrinoid Syndrome Case Treated with rtPA.
%A Muñoz-Solano J
%A Tondini G
%A Zicarelli F
%A Staurenghi G
%A Oldani M
%A Invernizzi A
%J Ocul Immunol Inflamm
%V 32
%N 6
%D 2024 Aug 4
%M 37140351
%F 3.728
%R 10.1080/09273948.2023.2203232
%X <B>UNASSIGNED: </B>To highlight the importance of swept-source anterior segment optical coherence tomography (SS-ASOCT) in the peri-surgical management of cataract in uveitis. To describe a case of fibrinoid syndrome in uveitis treated with recombinant tissue plasminogen activator (rtPA).<BR><B>UNASSIGNED: </B>SS-ASOCT was performed at each follow-up before and after cataract surgery to assess anterior chamber inflammation and assist the clinical management of the patient.<BR><B>UNASSIGNED: </B>A patient with idiopathic autoimmune uveitis was scheduled for cataract surgery. SS-ASOCT allowed to correctly plan the surgery timing. The patient developed a severe fibrinoid syndrome. Postsurgical SS-ASOCT allowed to distinguish between anterior chamber cells and fibrin thus guiding the timing for rtPA intracameral injection. Visual acuity improved from 20/400 the day after the surgery to 20/40.<BR><B>UNASSIGNED: </B>SS-ASOCT allowed a precise assessment of the inflammatory components (cellular vs fibrinoid) after cataract surgery. Intracameral rtPA was safe and effective in the treatment fibrinoid syndrome in uveitis.