Aim. To present a clinical case of bilateral retinal occlusions in a 40-year-old woman who suffered COVID-19 associated pneumonia. Materials and methods. The analysis of the dynamics of the development of clinical manifestations of the disease of a patient R., born in 1981 with a burdened obstetric and gynecological history before the disease with a new coronavirus infection was carried out. Results. The absence of anticoagulant therapy during rehabilitation in the patient after 4 months led to an increase in blood pressure, after 6 months of vascular occlusion of the left eye, after 1 year and 4 months of vascular occlusion of the right eye. The data of a small coagulogram reflect the state of individual units of the coagulation system and are not informative for patients of this category. Conclusion. After undergoing a new coronavirus infection, it is recommended that patients undergo thromboelastography and a thrombodynamics test.
Aim. To identify current trends in hospital eye trauma based on the materials of the specialized ophthalmology department of a round-the-clock hospital. Materials and methods. The analysis of medical records of patients treated in the round-the-clock specialized ophthalmology department of the state medical establishment OKB No. 2 in the period since January 2017-2019. Results. During the analyzed period, 4948 patients were treated, of which 218 patients (5.6%) were identified for nosologies belonging to the category of eye trauma. Men are most often exposed to eye injuries (84%), in addition, in 62% of cases, these are young patients (18-44 years). The structure of eye trauma is almost unchanged: the leading position is occupied by penetrating wounds of the eyeball and contusions, the third place is occupied by burns, through wounds of the eyeball are rare. Conclusions. Given the poor prognosis of the outcome of a severe eyeball injury, it requires the introduction of modern types of microsurgical intervention using endovitreal surgery at the present stage.
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