EYE DISEASES : IRIDOCYCLITIS TRAUMATIC (IRIDOCYCLITIS TRAUMATICA) - etiology, pathogenesis, symptoms and course of, recognition, prediction and prevention
Etiology. Perforating wound of the eye.
The pathogenesis. The introduction of infection into the eye during trauma or surgery. Often the infection is endogenous in nature, activated by trauma.
Symptoms. Eye irritation, pain, discoloration of the iris, visible dense opacities of the vitreous, sometimes yellow exudate therein (vitreous abscess); lowering intraocular pressure.
For. Rapid infection in a few days ends with the death of the eye; occurs slowly weaker, the inflammatory process in the eye for a long time does not stop. The sluggish current of the danger of sympathetic inflammation of the other eye.
Recognition in most cases easy.
Strict sterility during all intraocular surgeries. The fight against industrial and domestic injuries of the eye; an energetic and timely treatment perforated eye injuries (see).
In acute forms, obviously leading to the death of the eyes, sometimes have no option but to immediately produce enucleation; however, it is in acute purulent traumatic iridotsiklitah better not to rush with enucleation, as rapidly increasing the process may seem more formidable than he actually is, and applying the penicillin therapy, can sometimes quickly to extinguish even a very rough start the inflammatory process. Indications for eye removal should be determined because of the danger of sympathetic inflammation in cases stagnant traumatic iridocyclitis, where the eye is already blind and vision restoration cannot be counted. Where sight is kept, should conservative treatment. Injections of milk (5 to 8 ml a day) and infusion of 40% solution of urotropine in Vienna (2 courses 5 injections of 5 ml each day; the interval between courses of a few days, depending on the tide). After the infusion of hexamine, or in parallel, high doses of salicylic preparations. Useful blood transfusion (200 - 300 ml 2 - 3 times). Sometimes good results are obtained by a course of mercury rubbing. Sulfonamides in large doses. The best method of treatment in such cases is the use of penicillin intramuscularly (40 000 - 50 000 units of 8 times a day for 1 to 2 weeks and sometimes more), and topically. In addition to spuskanija in the eyes of penicillin in the droplets, it is necessary to appoint and subconjunctival its introduction in 0.2 - 0.3 ml of a solution containing 20 000 units in 1 ml. In the most severe cases, the same solution is injected directly into the vitreous body of the patient eye.