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Berlin eye hospital discharge report

Post-Enucleation Pathology Report

 

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Post-Enucleation Pathology Report (dissection of my eye)


 


 

Berlin eye hospital discharge report

I translated the important parts as best as I could. It contains some text that is on the 2nd page, which I haven't scanned yet because I only needed page 1.
We report on the patient xxxxxxxxxxxxxx, resident: xxxxxxxxxxxxxx, which was in our treatment from 11.05.2019 to 17.05.2019.

On 14.05.2019 a wound exploration with wound care, anterior chamber irrigation and administration of vancomycin 0.05ml and dexamethasone 0.25ml in all-cause anesthesia was performed on the left eye

Intraoperatively, an extensive scleranecrosis occurred. The patient received vancomycin, cefuroxime, and prednisolone over 6 days. Local was treated with floxal, gentamicin and inflanefran forte.

No pathogen was found.

Front section left eye:
Bulbus soft, conjoined blue, adapted, cornea smooth, clear, anterior chamber deep, no irritation, pupil dilated, some reaction to light, lens dulled

Fundus left eye:
no ingot, b-scan: choroid swelling, glaskorperin filtrates

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