Septic retinitis
Last reviewed: 23.04.2024
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Septic conditions observed after childbirth, in patients with endocarditis, cerebrospinal meningitis, pneumonia, etc., are often complicated by retinitis.
Ophthalmoscopic picture in septic retinitis is non-specific and differs from that in retinitis of other etiology only by the severity of the process, i.e. By the number and magnitude of exudative foci in the retina.
The most typical is the picture of the fundus in metastatic retinitis in patients with septicemia: white exudative foci of various sizes with numerous hemorrhages appear, the veins widened and crimped, the optic nerve disk is hyperemic, its borders are dimmed, and vision is significantly reduced. Very rarely there is a reverse development of the process, after which there are atrophic foci. More often near the hearth, turbidity of the vitreous body takes place, which then spreads to the entire vitreous body, resulting in the development of a typical endophthalmitis, and then panophthalmitis.
Another type of septic retinitis is known, in which the inflammation around the vessels - perivasculitis - is the basis of the changes. Ophthalmoscopy reveals couplings accompanying vessels, which histologically represent inflammatory cell infiltrates in the walls of blood vessels. Between the vessels in the retina, yellow-white sharply delineated foci are visible; there may be hemorrhages.
Intensive treatment of the underlying disease is shown. Under the conjunctive antibiotics of a wide spectrum of action, dexazonum, mydriatica are entered.
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