[Rendering of primary health care to patients with trauma of visual organ].

This article is devoted to the actual problem of modern ophthalmology--primary health care in cases of mechanical ocular trauma. The article presents the information about the most common ocular trauma and secondary organs of eye, which can occur in the practice of the military doctor. The article includes epidemiological analysis of eye injuries in peacetime and wartime. The authors propose an algorithm for examining patients with damages of visual organs. They also suggest the most informative diagnostic techniques and manipulations that can be performed in a medical center of a military unit with the help of provided resources to the correct formulation of preliminary diagnosis and choice of evacuation destination of a wounded person. These diagnostic manipulations do not require special skills and can be carried out in a medical center of a military unit. In their article, the authors propose an approximate algorithm of therapeutic measures carried out using medicines of primary health care that can be performed in a medical centre of a military unit with a help of provided resources, with an indication of drugs, dosage and ways of injection. Performing the described list of simple treatment measures for eye care allows a high degree of probability to achieve the prevention of infectious and inflammatory complications of eye injuries and subsidiary organs. This article is intended to military doctors and paramedics.

[Local ocular immunity parameters in chronic rhino- or odontogenic infection].

Thirty-four patients with foci of chronic rhino- or odontogenic infection were examined. All the patients underwent physical examination, biochemical blood analysis, immunological test for immunoglobulins A, G, and M, circulating immune complexes, leukocyte migration inhibition test with phytohemagglutinin, Con A, with antigens of the retina, vitreous body, iris, and lens, scrapes from the dentogingival pocket, conjunctival and nasal cavities for Chlamydia, followed by direct immunofluorescence, polymerase chain reaction, and culture. Chronic rhino- or odontogenic infection foci impair local ocular immunity in ophthalmologically healthy patients. The foci of chronic rhinogenic infection cause more pronounced changes in systemic and local ocular immunity than those of chronic odontogenic infection. In half the patients with chronic rhino- or odontogenic infection foci, Chlamydia are detectable in the oral, nasal, and ocular mucosae, which suggests that there is generalized infection and there is a need for complex sanitation of the body. Isolated local treatment for Chlamydia infection is not promising.