title: [Treatment option for intralamellar corneo-scleral abscesses in the zone of tunnel incision after phacoemulsification].
abstract: The article provides data on clinical diagnosis (4 patients, 4 eyes) and early surgical treatment of corneal intralamellar abscesses (ICA) in the zone of corneo-scleral tunnel incision after phacoemulsification (PE). ICA developed via corneo-scleral incision was a relatively reliable biomicroscopic sign of the beginning chronic endophthalmitis. Despite of massive nonsurgical treatment (antibiotics, glucocorticoids, non-steroid anti-inflammatory agents etc.) inflammation was not arrested completely, it recurred within 2,5-6 months after PE. Reconstructive conjunctivo-sclerokeratoplasty resulted in arrest of inflammation and visual function recovery in 3 patients. In one patient this procedure was not possible to perform because of total loss of visual functions due to chronic endophthalmitis.
authors.forename: E A
authors.initials: EA
authors.lastname: Kasparova
authors.forename: A A
authors.initials: AA
authors.lastname: Kasparov
mesh_terms: D000038:Abscess / Q000175:diagnosis / Q000209:etiology / Q000503:physiopathology / Q000601:surgery; D000305:Adrenal Cortex Hormones / Q000008:administration & dosage; D000368:Aged; D000900:Anti-Bacterial Agents / Q000008:administration & dosage; D000893:Anti-Inflammatory Agents / Q000008:administration & dosage; D003131:Combined Modality Therapy / Q000379:methods; D009877:Endophthalmitis / Q000175:diagnosis / Q000209:etiology / Q000503:physiopathology / Q000628:therapy; D006801:Humans; D056965:Injections, Intraocular / Q000379:methods; D032801:Iridectomy / Q000379:methods; D015948:Keratoplasty, Penetrating / Q000379:methods; D008297:Male; D018918:Phacoemulsification / Q000009:adverse effects* / Q000379:methods; D011183:Postoperative Complications / Q000175:diagnosis / Q000503:physiopathology / Q000628:therapy; D020127:Recovery of Function; D016896:Treatment Outcome; D014787:Vision Tests; D014821:Vitrectomy / Q000379:methods*
chemical_list: D000305:Adrenal Cortex Hormones; D000900:Anti-Bacterial Agents; D000893:Anti-Inflammatory Agents