[The «open abdomen» technique for widespread peritonitis].

We analyzed modern treatment methods for widespread peritonitis (laparostomy, «open abdomen») and prospects of this approach. There are no generally accepted methods of laparostomy for peritonitis. Results of systematic reviews are often difficult to be interpreted due to combination of studies with and without control groups, as well as different methodologies for analysis of results.

Chronic diabetic macular oedema, pars plana vitrectomy or combination of PPV and laser?

Diabetic cystoid macular oedema (DME) is a common cause of visual acuity (VA) decrease. Good anatomical results and VA of pars plana vitrectomy (PPV) in cases of macular hole internal limiting membrane (ILM) peeling leads to usage of this technique in DME. A favorable result even in a case without vitreoretinal traction leads to conclusion that pathogenesis of this disease is different.

[Diabetics in population of patients treated by pars plana vitrectomy].

The purpose of this study is to evaluate visual and anatomic outcomes following pars plana vitrectomy (PPV) for complications of diabetic retinopathy (DR), and to assess risk factors that might influence the visual outcome after successful PPV. The medical records of 35 diabetic patients of both types 1 and 2 of diabetes, who underwent vitrectomy for complications of proliferative diabetic retinopathy (PDR) between 2004 and 2005, were analyzed retrospectively. Certain preoperative systemic and ophthalmic variables, intraoperative variables and postoperative complications with negative influence on visual outcome after PPV were recorded.

[Transmissing electron microscopy of the vitreo-macular border in clinically significant diabetic macular edema].

The authors examined samples of the epimacular tissue in clinically significant macular edema by means of the transmissing electron microscopy. They did not found morphological differences between samples from patients already treated by means of laser photocoagulation before the pars plana vitrectomy and those without the laser treatment. Findings may be divided into three groups: (1) the inner limiting membrane (ILM) covered with collagen vitreous fibers, (2) cells' elements of the fibroblasts category, and (3) fibrous astrocytes in the vitreous cortex constituting one- or multilayer cellular membranes.

[Bilateral Terrien's degeneration treated by corneoscleral graft transplantation].

Authors operated on a patient with bilateral corneal involvement in Terrien's marginal degeneration and spontaneous corneal perforation. The surgery was performed in both eyes at the same time and a free sclerocorneal graft was used. The postoperative cosmetical and functional results as well were very good.