METHOD FOR SURGICAL TREATMENT OF ACUTE BACTERIAL POSTOPERATIVE ENDOPHTHALMITIS COMBINED WITH RETINAL DETACHMENT Russian patent published in 2017 - IPC A61F9/07 

FIELD: medicine.

SUBSTANCE: invention is intended for surgical treatment of acute bacterial postoperative endophthalmitis using antibiotics (AB). Pathologically altered vitreous body is removed by three-port vitrectomy, taking the contents of the vitreous cavity and anterior chamber to seed the microflora and determine its sensitivity to antibiotics. After three-port vitrectomy through 25-27G microdots, the sites of retinal detachment and rupture are determined visually and detached retina is adapted by replacing the BSS solution with perfluororganic compound (PFOC), simultaneously draining the subretinal fluid from detached retina and performing delocal laser coagulation of retinal rupture area. Further, PFOC is replaced with a gas-air mixture. Perform intravitreal administration of vancomycin in the vascular arcade area with single drops at a dose of 200 mcg/0.1 ml, then a silicone oil is introduced into the vitreous cavity, replacing the gas up to the normotonus of the eyeball, then the ports are removed and the sutures are sutured, then a sealing suture is placed on the main Corneal incision and perform intracameral administration of ceftazidime at a dose of 450 mcg/0.1 ml.

EFFECT: method allows to achieve rapid restoration of visual functions, to reduce intra- and postoperative complications.

4 cl, 2 ex