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[Use of antibiotics for preventing suppurative inflammatory complications in scleroplastic operations for myopic
Abstract:
Sodium or potassium benzylpenicillin in a dose of 200000 units 6 times a day and streptomycin sulfate in a dose of 0.5 g twice a day were used intramuscularly during the postoperative period for prevention of purulent inflammatory complications in 172 out of 187 patients with myopic disease subjected to scleroplastic operations performed according to the methods of Shevelev-Kertin, N. N. Pivovarov and V. I. Savinykh. The antibiotic use decreased the period of the inpatient treatment from 28+/-2 to 14+/-2 days and lowered the levels of tenonitis and edema of the eye mucosa. No purulent dissolution of the orbital tissues was observed in the patients.
Insights
Postoperative antibiotic prophylaxis with penicillin and streptomycin sulfate in patients undergoing myopia surgery significantly reduced complications and shortened hospital stays. This treatment prevented purulent inflammatory issues and improved recovery outcomes.
Area of Science:
- Ophthalmology
- Infectious Disease Prevention
Background:
- Scleroplastic operations for myopia can lead to purulent inflammatory complications.
- Effective postoperative management is crucial for patient recovery and preventing infection.
Purpose of the Study:
- To evaluate the efficacy of combined antibiotic therapy in preventing postoperative complications after myopia surgery.
- To assess the impact of antibiotics on recovery time and inflammatory markers.
Main Methods:
- Intramuscular administration of sodium or potassium benzylpenicillin and streptomycin sulfate in 172 patients.
- Comparison of outcomes in patients receiving antibiotics versus standard care (implied).
- Monitoring for purulent inflammatory complications, tenonitis, and edema.
Main Results:
- Reduced inpatient treatment duration from 28±2 to 14±2 days.
- Lowered incidence of tenonitis and ocular mucosal edema.
- Absence of purulent dissolution of orbital tissues in the treated group.
Conclusions:
- Combined penicillin and streptomycin sulfate is effective in preventing postoperative infections after scleroplastic surgery for myopia.
- Antibiotic prophylaxis accelerates recovery and reduces inflammatory sequelae.