SURGICAL PHOTODYNAMIC METHOD FOR TREATING THE CASES OF ENDOPHTHALMITES

摘要

FIELD: medicine. ^ SUBSTANCE: method involves taking fibrinous exudates from the anterior chamber, pupil area, iris and from vitreous body cavity to carry out bacteriological analysis. Closed subtotal vitrectotmy is carried out with maximum exudates and inflammatory membranes being removed from the vitreous cavity. A photosensibilizer agent is introduced into the vitreous cavity and hold without being exposed to light action during 10-1t5 min. Photodynamic therapy with endolaser radiation treating the vitreous cavity is applied by applying intravitreous light guide with wavelength of 661-666 nm. The vitreous cavity tamponade with silicon oil is carried out and antibacterial preparations are introduced. The photosensibilizer agent is introduced into the anterior chamber and the anterior chamber is irradiated with coaxial halogen lamp light via corneal paracentesis with red light filter being used. ^ EFFECT: enhanced effectiveness of treatment; eliminated endophthalmitis symptom manifestations; retained anatomical correspondence of ophthalmic tunics; excluded early stage eye evisceration. ^ 3 cl