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NR 4-6/2009
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Martwica twardówki
po operacji wgłabiającej u chorej z pyoderma gangrenosum
Scleral necrosis after
scleral buckling surgery of the patient with pyoderma
gangrenosum
Maria Kmera-Muszyńska, Piotr Tesla, Anna
Okruszko
Z Samodzielnego Publicznego Klinicznego Szpitala Okulistycznego
w Warszawie
Z Katedry i Kliniki Okulistyki II Wydziału Lekarskiego
Warszawskiego Uniwersytetu Medycznego
Kierownik: prof. dr hab. n. med. Jerzy Szaflik |
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| Summary: |
Pyoderma gangrenosum (PG)
is a rare skin disease caused by immune dysfunction. The
systemic diseases are often associated. The aim of the
study was to report necrotic scleritis which developed
after scleral buckling procedure in the case of the 64
years old patient suffered from primary retinal
detachment and idiopathic PG. The retinal reattachment
was achieved. The conjunctival wound dehiscence,
necrotising scleritis and marginal keratitis as a
manifestation of the patergic reaction were diagnosed.
The treatment with corticosteroids locally (Dexamethason)
and systematically (Prednison and Sulfasalazine), was
administrated. The improvement and stabilisation of the
local condition of ocular surface were observed. After
reduction of systemic drugs, the exacerbation of local
inflammation and vitritis was observed. The prolonged
therapy was necessary. The risk of wound healing
disturbances of an ocular surface with aggravated
necrotic reaction must be expected after ocular surgery
of the patient with PG. The adequate immunosupressive
prolonged treatment with proper collaboration with the
dermatologist is necessary. |
| Słowa kluczowe: |
pyoderma gangrenosum,
martwica twardówki, powikłania operacji odwarstwienia
siatkówki. |
| Key words: |
pyoderma gangrenosum,
scleral necrosis, complication after retinal detachment
surgery. |
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