Two episodes of anaphylaxis following exposure to hydroxypropyl methylcellulose during cataract surgery
Research output: Contribution to journal › Journal article › Research › peer-review
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.
Original language | English |
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Journal | Journal of Cataract & Refractive Surgery |
Volume | 39 |
Issue number | 6 |
Pages (from-to) | 948-951 |
ISSN | 0886-3350 |
DOIs | |
Publication status | Published - 2013 |
Bibliographical note
FINANCIAL DISCLOSURE: No author has a financial or proprietary interest in any material or method mentioned.
- Aged, Anaphylaxis, Cataract Extraction, Drug Hypersensitivity, Humans, Male, Methylcellulose, Ophthalmic Solutions, Recurrence, Skin Tests
Research areas
ID: 118829027