Open AccessRemote treatment results in patients with eye tuberculosis
Author(s) -
Sergei Leonidovich Lyapin,
Ляпин Сергей Леонидович,
Yelena Ivanovna Ustinova,
Устинова Елена Ивановна
Publication year - 2013
Publication title -
oftalʹmologičeskie vedomosti
Language(s) - English
Resource type - Journals
eISSN - 2412-5423
pISSN - 1998-7102
DOI - 10.17816/ov2013260-66
Subject(s) - medicine , tuberculosis , chorioretinitis , anterior uveitis , chemotherapy , uveitis , surgery , ophthalmology , pathology
Remote results of standard chemotherapy regimens used for ophthalmic tuberculosis were analyzed in 87 patients, receiving care at a specialized sanatorium during the intensive treatment phase, and at local anti-tuberculosis dispensaries during the continued treatment phase. Remote treatment results were assessed at the patients’ admittance to the sanatorium in 1–3 years after the treatment termination. A positive result — “effective treatment” was established in 73 (84 %) from 87 patients, with newly diagnosed ophthalmic tuberculosis and its recurrences — in 85 % and 83 %, respectively (p > 0.05). A significant advantage was found in effective treatment prevalence at remote terms in patients with tuberculous chorioretinitis when compared to anterior uveitis, both in the whole material (p = 0.0004) and in each of the main groups — newly diagnosed ophthalmic tuberculosis (p = 0.0004) and its recurrences (p = 0.02). The lack of phthisioophthalmologists in 46.6 % of anti-tuberculosis dispensaries renders the control of treatment quality more difficult..