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Effect of -Aminocaproic Acid on Postvitrectomy Hemorrhage
Serge de Bustros, MD;
Bert M. Glaser, MD;
Ronald G. Michels, MD;
Cheryl Auer, MS
Arch Ophthalmol. 1985;103(2):219-221.
Abstract
We performed a prospective study involving 96 patients undergoing vitrectomy for proliferative diabetic retinopathy to determine the effect of -aminocaproic acid on the occurrence of postoperative intraocular hemorrhage. -Aminocaproic acid significantly reduced postoperative vitreous hemorrhage during the immediate postoperative period. Follow-up examinations two to six weeks after discharge from the hospital disclosed no statistically significant difference in the severity of vitreous hemorrhage between the treated and untreated groups. The loss of drug effect at this stage was in part due to spontaneous repeated bleeding in the treated group and in part to spontaneous clearing of hemorrhage in the untreated group. There was no statistically significant difference in the rate of repeated bleeding between the two groups or in rate of spontaneous clearing.
Author Affiliations
From the Center for Vitreoretinal Research (Drs de Bustros, Glaser, and Michels) and the Biostatistical Center (Ms Auer), Wilmer Institute, The Johns Hopkins Hospital, Baltimore. Dr de Bustros is a fellow for Research to Prevent Blindness Inc, New York.
Footnotes
Accepted for publication Oct 26, 1984.
Read in part before the American Academy of Ophthalmology meeting, Atlanta, Nov 12, 1984.
Reprint requests to The Johns Hopkins Hospital, 600 N Wolfe St, Maumenee 119, Baltimore, MD 21205 (Dr Glaser).
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