Endophthalmitis

endophthalmitis
Such complications, as endophthalmitis after conventional surgery cataracts are not common but they can have disastrous consequences.

Endophthalmitis is a purulent inflammation in the inner shells of the eyeball. Endophthalmitis occurs as a result of infected wounds (especially with the introduction of a foreign body), sometimes after abdominal operations on the eyeball, and in General purulent septic processes (metastatic endophthalmitis).
When endophthalmitis eyesight is deteriorating. When scanning is visible characteristic grayish-yellow reflex from the depths of the pupil, caused by reflection of light rays from opaque purulent infiltrate into the vitreous body.
Treatment. Pursue a common antibiotics antibiotics, sulfa drugs; local podkonyunktivalno make injections of penicillin 50 000 IU daily.
Forecast of endophthalmitis mostly unfavorable, the disease often ends with atrophy of the eyeball.

Endophthalmitis (endophthalmitis; from the Greek. endon - inside and ophthalmos - eye) - purulent inflammation of the inner membranes of eyes. Most often endophthalmitis develops after perforated infected wounds eyeball where the infection gets into the vitreous body. In some cases of purulent process is rapidly spreading, capturing all of the inner lining of the eyes, and goes into anophthalmic (see). In other cases, the infection is delayed in vitreous body, keeping the focal character.
When endophthalmitis visual function of the patient's eyes are always greatly reduced. When scanning is visible characteristic yellowish reflex from the depths of the pupil, caused by reflection of light rays from opaque purulent infiltrate into the vitreous body. Later infiltration may be replaced by a newly formed connective tissue, the eye becomes gipotonica and gradually atrophy.
In the treatment of endophthalmitis main role belongs to the antibiotics. With early application is often possible to save the patient's eyes, not only anatomically, but also functionally. In addition to the intramuscular injection of penicillin or streptomycin (500 000 IU 3 times a day), shows the use of these antibiotics locally subkonyunktivalno (50 000 IU) or even directly into the vitreous body (5000 IU). Applied sulfonamides, intravenous infusion of 40% solution of hexamethylenetetramine, autohemotherapy, lectotype.