Surgical treatment of postoperative endophthalmitis (eхperimental investigation)

Surgical treatment of postoperative endophthalmitis is an urgent problem of ophthalmic surgery. Purpose.The aim of the study was to analyze the results of treatment of patients with postoperative endophthalmitis using perfluorodecalin and antibiotic solutions for vitreal cavity tamponade. Materials and methods. For the period 2016-2020, 35 patients (35 eyes) were operated in the Cheboksary branch of the S. Fyodorov Eye Microsurgery Federal State Institution. In 26 patients, this complication occurred after cataract extraction, in 7 after vitreoretinal operations, in 2 after intravitreal administration of an angiogenesis inhibitor. Visual acuity before treatment of endophthalmitis in 3 patients was to 0.02– 0.08, in 16 – counting of fingers in the face, in 13 – pr.l.certa, in 3-pr. l. incerta. All patients underwent vitrectomy with perfluorodecalin tamponade of the vitreal cavity for up to 14 days and intravitreal administration of vancomycin 1 mg and ceftazidime 2.25 mg at the end of the operation. On day 2-3, all patients underwent additional intravitreal administration of antibiotics, depending on the detected pathogen. Further, in 22 patients, the removal of perfluorodecalin and the remaining preretinal and peripherally located exudate was performed, in 13 patients - tamponade of the vitreal cavity with silicone oil. Results. As a result of the treatment according to the developed method, it was possible to preserve visual functions in 32 patients (91%) out of 35. At discharge, the corrected visual acuity was from 0.1 to 0.7 (0.28±0.2). After 6 months, the corrected visual acuity in 32 patients was from 0.1 to 0.9 (0.36±0.2). Visual acuity (above 0.3) was achieved in 26 cases (74.3%). Conclusion. Clinical results demonstrate the effectiveness of the developed method of surgical treatment of endophthalmitis. Key words: postoperative endophthalmitis, perfluorodecalin, intravitreal administration of vancomycin and ceftazidime.

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Postoperative Endophthalmitis: Incidence, Causes and Comparison Between Medical and Surgical Treatment in a United Kingdom Region in the Last 10 Years

Acta Ophthalmologica ◽

10.1111/j.1755-3768.2015.0673 ◽

2015 ◽

Vol 93 ◽

pp. n/a-n/a ◽

Cited By ~ 3

Author(s):

A. Shalaby ◽

S. Di Simplicio Cherubini ◽

A. Lockwood ◽

R. Newsom

Keyword(s):

United Kingdom ◽

Surgical Treatment ◽

Postoperative Endophthalmitis

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Surgical treatment and method of collection of intraocular contents in postoperative endophthalmitis

10.25276/978-5-90362-423-2 ◽

2020 ◽

Author(s):

N.P. Pashtaev ◽

◽

N.A. Pozdeeva ◽

I.A. Frolychev ◽

L.V. Kolbovskaya ◽

...

Keyword(s):

Surgical Treatment ◽

Postoperative Endophthalmitis

Рассматриваются вопросы хирургического лечения послеоперационных эндофтальмитов с методикой забора интраокулярного содержимого для бактериологического, микологического исследования и ПЦР-диагностики. Приводится подробная методика забора материала перед хирургическим лечением с описанием дальнейшей транспортировки и лабораторной диагностики материала. Предназначено для врачей-офтальмологов специализированных глазных отделений стационаров, клинических ординаторов и слушателей курсов усовершенствования последипломного образования по специальности «Офтальмология».

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Analysis of treatment results of endophthalmitis patients accordingto the data from the City Ophthalmology Center for 2014-2015

Ophthalmology journal ◽

10.17816/ov1015-9 ◽

2017 ◽

Vol 10 (1) ◽

pp. 5-9

Author(s):

Sergey Yu Astakhov ◽

Andrey D Shchukin

Keyword(s):

Visual Acuity ◽

Surgical Treatment ◽

Hospital Admission ◽

Systemic Therapy ◽

Postoperative Endophthalmitis ◽

Treatment Results ◽

Visual Functions ◽

Posttraumatic Endophthalmitis ◽

The City ◽

Baseline Visual Acuity

Aim. To estimate development terms, visual functions upon hospital admission and discharge, medical and surgical treatment results of different nature endophthalmitis. Materials and methods. Data of 40 patients were studied, which received treatment for postoperative, endogenous, posttraumatic endophthalmitis. Main age of patients was 61 year. Results and discussion. 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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Human Stapes Crura: Normal Ultrastructure. Scanning Electron Microscopic Findings

Proceedings, annual meeting, Electron Microscopy Society of America ◽

10.1017/s0424820100116267 ◽

1975 ◽

Vol 33 ◽

pp. 528-529

Author(s):

M.D. Graham

Keyword(s):

Electron Microscope ◽

Surgical Treatment ◽

Scanning Electron Microscope ◽

Osmic Acid ◽

Human Cadaver ◽

Electron Microscopic ◽

Scanning Electron Microscopic ◽

Normal Human ◽

Microscopic Findings ◽

Scanning Electron

The recent development of the scanning electron microscope has added great impetus to the study of ultrastructural details of normal human ossicles. A thorough description of the ultrastructure of the human ossicles is required in order to determine changes associated with disease processes following medical or surgical treatment.Human stapes crura were obtained at the time of surgery for clinical otosclerosis and from human cadaver material. The specimens to be examined by the scanning electron microscope were fixed immediately in the operating room in a cold phosphate buffered 2% gluteraldehyde solution, washed with Ringers, post fixed in cold 1% osmic acid and dehydrated in graded alcohol. Specimens were transferred from alcohol to a series of increasing concentrations of ethyl alcohol and amyl acetate. The tissue was then critical point dried, secured to aluminum stubs and coated with gold, approximately 150A thick on a rotating stage in a vacuum evaporator. The specimens were then studied with the Kent-Cambridge S4-10 Scanning Electron Microscope at an accelerating voltage of 20KV.

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