ЛЕЧЕНИЕ ЭНДОФТАЛЬМИТА У БОЛЬНЫХ ПОСЛЕ ОТКРЫТЫХ ТРАВМ ГЛАЗНОГО ЯБЛОКА

Ш. К. Махмадзода, М. Б. Каримов, З. Б. Хайдаров

Передовая Офтальмология · 2023-yil

Annotatsiya

Relevance. Endophthalmitis occurs due to formidable complications penetrating the wounded eyeball. The incidence of endophthalmitis in open injuries of shelters is 46%. Purpose of the study. To evaluate the therapeutic and functional effect of intravitreal administration of antibiotics in acute endophthalmitis that developed after open eye injuries. Material and methods. The case histories of 22 patients (22 eyes) were analyzed, who were hospitalized in the 1st eye department of the State Institution NMC RT "Shifobakhsh" with a diagnosis of open injury of the eyeball, endophthalmitis, in the period from January 2017 to December 2022. Results. The results of the study were evaluated by the development of the clinical picture, and in the presence of negative dynamics, 12–24 hours after the first injection, antibiotics were re-introduced intravitreally according to the method described above. Visual acuity after treatment was: in 9 (40.9%) patients — 0.01–0.06; in 11 (50%) — the correct projection of light; in 2 (9.1%) — the wrong projection of light. Low numbers of visual acuity are associated with post-traumatic changes in the cornea, vitreous body and lens. Conclusion. Intravitreal administration of the antibiotic’s ceftazidime and vancomycin in combination with prednisolone per os in post-traumatic endophthalmitis is a fairly effective method that allows you to save the eyeball and makes it possible to subsequently rehabilitate visual functions.

Maqola ma’lumotlari
MualliflarШ. К. Махмадзода, М. Б. Каримов, З. Б. Хайдаров
JurnalПередовая Офтальмология
Nashr sanasi2023-05-23
Jild3
Son3
Betlar106-108
Tilru
DOI10.57231/j.ao.2023.3.3.023

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