Abstract
Aim. To estimate development terms, visual functions upon hospital admission and discharge, and medical and surgical treatment results of different types of endophthalmitis.
 Materials and methods. Data of 40 patients who received treatment for postoperative, endogenous, and posttraumatic endophthalmitis were studied. The mean age of patients was 61 years.
 Results and discussion. Patients with postoperative endophthalmitis have higher baseline visual acuity, and emergency vitrectomy is a method of choice. Patients with endogenous severe endophthalmitis need enucleation more often. Intravitreal antibiotic injection does not always cause an improvement in endophthalmitis, but could be used as an adjunct to systemic therapy or as a measure in anticipation of vitrectomy.
Highlights
Цель работы: оценить сроки развития, зрительные функции при поступлении и при выписке, результаты консервативного и хирургического лечения эндофтальмита различного генеза
Patients with postoperative endophthalmitis have higher baseline visual acuity, and an emergency vitrectomy is a method of choice
У большинства из них эндофтальмит развился в раннем послеоперационном периоде — в срок до одной или до двух недель после операции
Summary
ФГБОУ ВО «Первый Санкт-Петербургский государственный медицинский университет имени академика И.П. Цель работы: оценить сроки развития, зрительные функции при поступлении и при выписке, результаты консервативного и хирургического лечения эндофтальмита различного генеза. Исследованы 40 пациентов, получавших лечение по поводу послеоперационного, эндогенного, посттравматического эндофтальмита. Пациенты с послеоперационным эндофтальмитом имеют более высокую исходную остроту зрения, и выполнение неотложной витрэктомии является методом выбора. Aim. To estimate development terms, visual functions upon hospital admission and discharge, medical and surgical treatment results of different nature endophthalmitis. Data of 40 patients were studied, which received treatment for postoperative, endogenous, posttraumatic endophthalmitis. Patients with postoperative endophthalmitis have higher baseline visual acuity, and an emergency vitrectomy is a method of choice. Patients with endogenous severe endophthalmitis more often need enucleation. Intravitreal antibiotic injection in endophthalmitis by no means always brings an improvement, but could be used as an adjunct to systemic therapy or as a measure for a patient in anticipation of vitrectomy
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