Paunović Svetlana, Janićijević Petrović Mirjana, Paunović Milan, Srećković Sunčica, Petrović Nenad, Sarenac Tatjana
Clinic of Ophthalmology, Clinical Centre of Kragujevac, Kragujevac, Serbia.
Med Glas (Zenica). 2012 Aug;9(2):432-4.
Panophthalmitis is an acute, purulent inflammation of the eyeball that involves all its structures and extends into the orbit. A case of a fifty-seven year old male treated earlier due to glaucoma and trophic ulcus of the cornea, was presented in this paper. He was admitted to hospital with intensive orbital pain and redness of the right eye, elevated body temperature, bulbus protrusion with limited movement, chemosis, edematous cornea, hypopyon, iris of invisible drawing and relief. The ocular fundus was not visible. At the admittance, amaurosis of the right eye was present as well as spontaneous cornea perforation. The patient was treated with antibiotic, corticosteroid, analgesic and antiglaucomatous therapy. Intravitreal administration of antibiotics was impossible due to spontaneous cornea perforation. The patient was discharged from the hospital in a good general condition. The condition of the right eye was stable, there was no danger of eye loss, while infection of the same eye was cured.
全眼球炎是一种累及眼球所有结构并蔓延至眼眶的急性化脓性炎症。本文介绍了一例57岁男性患者，该患者此前因青光眼和角膜营养性溃疡接受过治疗。他因右眼眼眶剧痛、发红、体温升高、眼球突出且活动受限、球结膜水肿、角膜水肿、前房积脓、虹膜纹理不清及视力减退入院。眼底无法看清。入院时，右眼已失明且角膜自发穿孔。患者接受了抗生素、皮质类固醇、镇痛药及抗青光眼治疗。由于角膜自发穿孔，无法进行玻璃体腔内抗生素注射。患者出院时一般状况良好。右眼情况稳定，无失明危险，且该眼感染已治愈。
