Sympathetic ophthalmia
Contents:
Description:
Sympathetic ophthalmia (sympathetic inflammation) - the disease of the second eye arising owing to a chronic traumatic iridocyclitis of the first eye.
Symptoms of the Sympathetic ophthalmia:
Symptoms arise in various terms - from 12-14 days to several months and even years after an injury of the first eye. The erased form of a disease has character of a serous iridocyclitis and comes to light only at biomicroscopy in the form of hypostasis of an endothelium of a cornea and single precipitated calcium superphosphates on its back surface.
At the expressed serous or serofibrinous iridocyclitis dacryagogue, a photophobia, a nictitating spasm, the mixed eyeglobe injection, the whitish or pigmented precipitated calcium superphosphates on a back surface of a cornea, hypostasis and a hyperemia of an iris, single pigmental deposits on the front capsule of a crystalline lens, synechia, opacity of the vitreous body develop. Process is often combined with a neuroretinitis (a hyperemia of an optic disk, an illegibility of its borders, a phlebectasia), sometimes - with a focal chorioretinitis. Changes in the refracting environments and a retina cause decrease in sight.
Reasons of the Sympathetic ophthalmia:
An important role is played: the getting wound of other eye which was complicated by a slow iridotsikpit is more rare surgical intervention on an eyeglobe or a perforated helcoma.
Pathogeny: the main role in an inflammation of the second eye is assigned to autoimmune reactions and effect of antigens of tissues of the injured eye.
Treatment of the Sympathetic ophthalmia:
Locally - mydriatic means in the form of drops, ointments, powder. Corticosteroids instillations of 1% of an emulsion of a hydrocortisone of 4-5 times a day, a mortgaging for eyelids of 0,5% of hydrocortisone ointment 3-4 times pass, subconjunctival injections of 0,2-0,3 ml of 0,5-1% of an emulsion of a cortisone (hydrocortisone) or 0,4% of solution of dexamethasone. In a process subsiding stage resorptional therapy electrophoresis with papain, fibrinolysin and an aloe. Bloodsuckers on a temple. Antibiotics and streptocides; penicillin on 150 000 - 200 000 PIECES 2-4 times a day, on a course of 000 000-7 000 000 PIECES, streptomycin on 250 000 - 500 000 PIECES 1-2 times a day, on a course 5 000 000 - 8 000 000 PIECES, tetracycline with nystatin on 100 000 PIECES 4 times a day within 5-10 days, levomycetinum on 0,5 g 3-4 times a day within 5-7 days, erythromycin on 0,5 g 4 times within 5-7 days, Sulfapyridazinum on 0,5 g (in the first day 2-4 tablets, in the next days 1-2 tablets) and other drugs. Inside - Prednisolonum or dexamethasone according to the scheme. During reception of Prednisolonum the electrolyte-deficient diet with increase in amount of proteins, inside - potassium acetate solution is recommended. Also Butadionum on 0,15 g 4 times a day during 2-3 weeks, Dimedrol on 0,03 g and a gluconate of calcium on 0,5 g 3 times a day are shown (1 month).
