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NR. 4/2009
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Ostre pooperacyjne
zapalenie wnętrza gałki ocznej
Acute Postoperative Endophthalmitis
Robert Rejdak, Tomasz Chorągiewicz,
Małgorzata Pietraś-Trzpiel, Piotr Stopa,
Tomasz Żarnowski
Katedra i Klinika Okulistyki Uniwersytetu Medycznego w Lublinie
Kierownik: dr hab. n. med. prof. nadzw. Tomasz Żarnowski |
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| Summary: |
Acute postoperative
endophthalmitis is infectious complication often leading
to vision loss. Due to the highly dynamic process the
proper treatment should be initiated as soon as possible.
Until recently it was limited to the use of local and
general antibiotic treatment and intravitreal
antibiotics injection. Vitrectomy was performed only in
cases where visual acuity deteriorated to the level of
fingers counting. In the course of inflammation there is
often permanent retinal damage. The bacteria and
bacterial toxins located near the retina are directly
responsible for this condition, causing toxic,
infectional and inflammatory retinal damage. In recent
years there has been a concept of early total vitrectomy
involving its earliest implementation, resulting in the
removal of inflammatory mediators from the interior of
the eye and improving medicines action. Thanks to
tremendous progress in vitreoretinal surgery and the
greater availability, it appears that should not be
given any treatment for postponing this operation and it
should be done as soon as possible, giving opportunities
to improve prognosis. |
| Key words: |
endophthalmitis,
vitrectomy. |
| Słowa kluczowe: |
zapalenie wnętrza gałki
ocznej, witrektomia. |
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