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Tsel'. Otsenit' effektivnost' ranney vitrektomii v khirurgicheskom lechenii ostrogo posleoperatsionnogo endoftal'mita. Materialy i metody. Patsiyent P,. 1970 g.r. obratilsya v kliniku s zhalobami na snizheniye ostroty zreniya na oba glaza, boleye vyrazhennymi na levom glazu. Byl vystavlen diagnoz kortikal'naya katarakta, presbiopiya. Zaplanirovano khirurgicheskoye lecheniye levogo glaza: fakoemul'sifikatsiya katarakty s implantatsiyey mul'tifokal'noy IOL s refraktsionnoy tsel'yu. Na 4y den' posle operatsii byl vystavlen diagnoz ostryy posleoperatsionnyy endoftal'mit, rekomendovano reviziya peredney kamery, mikroinvazivnaya vitrektomiya 25G. Rezul'taty. Posle 2-etapnoy khirurgii i intravitreal'nogo vvedeniya antibakterial'nykh preparatov byli dostignuty vysokiye funktsional'nyye rezul'taty i udovletvorennost' patsiyenta. Vyvody. Provedeniye ranney vitrektomii s intraoperatsionnym intravitreal'nym primeneniyem antibiotikoterapii pozvolyayet poluchit' vysokiye funktsional'nyye rezul'taty pri ostrom posleoperatsionnom endoftal'mite. Klyuchevyye slova: endoftal'mit, ostryy posleoperatsionnyy endoftal'mit, fakoemul'sifikatsiya katarakty Ещё 1 091 Objective. To evaluate the effectiveness of early vitrectomy in the surgical treatment of acute postoperative endophthalmitis. Materials and Methods. Patient P., born in 1970, presented to the clinic with complaints of decreased visual acuity in both eyes, more pronounced in the left eye. He was diagnosed with cortical cataract and presbyopia. Surgical treatment of the left eye was planned: phacoemulsification of the cataract with implantation of a multifocal intraocular lens for refractive purposes. On the 4th postoperative day, a diagnosis of acute postoperative endophthalmitis was made, and anterior chamber exploration and 25G microinvasive vitrectomy were recommended. Results. After 2-stage surgery and intravitreal administration of antibacterial drugs, high functional results and patient satisfaction were achieved. Conclusions. Early vitrectomy with intraoperative intravitreal antibiotic therapy allows for high functional outcomes in acute postoperative endophthalmitis. Keywords: endophthalmitis, acute postoperative endophthalmitis, cataract phacoemulsification