Сhronic infectious processes in ophthalmology

Purpose: to increase the effectiveness of the diagnosis and treatment of chronic specific inflammatory diseases of the organs of vision. Material and methods. The study included 589 patients who were examined and received complex treatment for infectious and allergic eye diseases. Helmholz National Investigation Center, Voronezh Regional Clinical Ophthalmic Hospital and Regional center of specialized types of assistance. Our study included chronic conjunctival infections lasting more than 4 weeks. The duration of patient monitoring is from one month to 5 years, follow-up of the patients, partners or family members for 3 years or more. Results. The study was carried out in patients with chlamydial infection (589) and with chronic infectious diseases that lasted more than 4 weeks, following patients and family members for 3 or more years. During this period, we performed more than 3 studies for each patient — for diagnostic laboratory studies and 2 consecutive controls 1 and 2 months after treatment, mixed infection was detected in 256 people (10%), the proportion of women was 20–30 years is 67%, men — 51%. In 27% of cases, communities of Ch. trachomatis and Ureaplasma parvum as leading causative agents of eye infections. Conclusions. Chlamydia is most often found together with Ureaplasma parvum (27% of cases among mixed infections). Treatment of various forms of chlаmidia infection is carried out with the help of Floxal (0.3% ofloxacin — drops and ointment). Keywords: chlamydial infection, mixed infection, chronic inflammation, fluoroquinolones, ofloxacin