RESUMEN
Traditional corticosteroid and antiinflammatory therapy should be supplemented with new immunocorrective drugs in patients with traumatic uveitis and ocular subatrophy. Immunotherapy is a pathogenetically justified and perspective trend in multiple-modality treatment of patients with injuries to the organ of vision. The authors validate the use of immunocorrectors utilized in general transplantology for preventing rejection crisis. Immunostimulants or immunosuppresants can be added to treatment protocols for patients with traumatic uveitis, depending on the changes in the patient's immune status. New immunotropic drugs affecting all components of immunity are needed.
Asunto(s)
Lesiones Oculares/complicaciones , Inmunoterapia/métodos , Uveítis/terapia , Adyuvantes Inmunológicos/uso terapéutico , Autoinmunidad/efectos de los fármacos , Lesiones Oculares/inmunología , Humanos , Inmunosupresores/uso terapéutico , Resultado del Tratamiento , Uveítis/etiología , Uveítis/inmunologíaAsunto(s)
Adyuvantes Inmunológicos/uso terapéutico , Lesiones Oculares/complicaciones , Inmunosupresores/uso terapéutico , Uveítis/etiología , Uveítis/terapia , Corticoesteroides/uso terapéutico , Adulto , Antibacterianos/uso terapéutico , Antiinflamatorios no Esteroideos/uso terapéutico , Antioxidantes/uso terapéutico , Niño , Lesiones Oculares/inmunología , Humanos , Uveítis/inmunologíaRESUMEN
The authors analyze 37 cases with grave traumatic uveitis eventuating in enucleation. Terms of enucleation after the injury, type of the injury, clinical picture of chronic uveitis, echographic and electrophysiological findings are presented. In ten patients signs of sensitization to ocular tissues were detected in various periods after the injury. Sensitization was detected by the leukocyte migration inhibition test (LMIT). The authors regard the results as a response to release of tissue antigens in the bloodflow because of impairment of the blood-eye barrier caused by the trauma. The authors claim that the results of LMIT in traumatic uveitis may be regarded as an additional, together with the clinical symptoms, criterion among indications to enucleation.
Asunto(s)
Enucleación del Ojo , Lesiones Oculares Penetrantes/complicaciones , Uveítis/etiología , Adolescente , Adulto , Toma de Decisiones , Cuerpos Extraños en el Ojo/complicaciones , Cuerpos Extraños en el Ojo/diagnóstico , Cuerpos Extraños en el Ojo/cirugía , Lesiones Oculares Penetrantes/diagnóstico , Lesiones Oculares Penetrantes/cirugía , Femenino , Estudios de Seguimiento , Humanos , Masculino , Factores de Tiempo , Uveítis/diagnóstico , Uveítis/cirugíaRESUMEN
Fifteen patients with contusions and a history of keratotomy were observed. All the patients presented with a characteristic symptom complex: lacerated wounds of the cornea because of ruptures at the sites of incisions, rupture of the iris, prolapse of the lens and vitreous body, impairment of internal membranes. Primary surgical treatment and subsequent antiinflammatory therapy and rehabilitation measures helped preserve all the eyes and attain functional results in 50% patients.
Asunto(s)
Lesiones Oculares Penetrantes/complicaciones , Queratotomía Radial , Miopía/cirugía , Adolescente , Adulto , Estudios de Seguimiento , Humanos , Miopía/complicaciones , Resultado del TratamientoRESUMEN
Despite the progress achieved in the treatment of ocular diseases, removal of the eyeball still has to be resorted to rather often. The records of 12 hospitals of Moscow over a year evidence 678 enucleations and eviscerations, 248 (39 percent) of these for oncologic diseases, 189 (29.1 percent) because of injury aftereffects, 153 (24 percent) because of glaucoma, and 58 (8 percent) because of ocular inflammations. Common enucleation was carried out in 203 of +/- 400 patients (except oncologic ones) and enucleation with implantation of biological and synthetic drafts in 197 cases, i.e. in half of the patients who needed it; this is explained by the absence of the necessary implants in hospitals. A bank of grafts should be created for centralized provision of ocular hospitals.
Asunto(s)
Enucleación del Ojo , Ojo Artificial , Adulto , Anciano , Oftalmopatías/cirugía , Lesiones Oculares/cirugía , Neoplasias del Ojo/cirugía , Femenino , Glaucoma/cirugía , Humanos , Masculino , Persona de Mediana EdadRESUMEN
Descriptions of penetration of large foreign bodies into the orbit are rare. The authors describe a patient who got a coil spring, 40 cm x 2.5 mm in size, in the orbit, when collecting metal scrap; the spring slipped off and penetrated into the orbit. Before examination the exterior part of the spring at the orbital edge was cut off with cutting pliers. Ultrasonic scanning was used before and during surgery, that permitted visual monitoring of the operation and helped prevent possible complications when removing the fragment, thus helping a successful outcome of surgery.