Cytomegalovirus (CMV) contamination is very common: in several countries, the number of seropositive people reaches 90% among the adult population. It is a latent infection able to affect any human organs and tissues that assumes special importance in severe immunosuppression cases. Cytomegalovirus retinitis is a disabling disease, and often leads to blindness. The article deals with some issues of epidemiology, clinical course, clinical presentation characteristics of cytomegalovirus eye disease in the context of HIV-infection. A special attention is given to detection methods, problems of diagnosis against the background of immune reconstruction syndrome, treatment approaches in clinical practice, and existing recommendations.
Over the last years, there is a pronounced tendency of increase in number of dirofilariasis infected animals and humans in the temperate climate area. Earlier, we described five cases of ophthalmodirofilariasis from 2015 to 2018. This article presents four new cases. One of the clinical cases relates to extremely rare localization in the anterior chamber of the eye. Only few reports of Dirofilaria detection in sclera, vitreous and retina have been published.
Aim. To develop and introduce into the pedagogical practice a competency-oriented education module. It would be included in all professional competencies of the Federal State Educational Standard for OPHTHALMOLOGY. Material and methods. A nosological form, retinopathy of prematurity, was chosen to create the module. The material was created primarily on the basis of Federal clinical guidelines (FKR), retinopathy of prematurity, active phase. For the electronic information and educational environment of the university and for contact work, tests and case studies were prepared and competency-oriented tasks were compiled for all 12 professional competencies (PCs) registered in the Federal State Educational Standard for Ophthalmology, dated October 27, 2014 (No. 34470). Results. The educational module, including all PCs, was developed and introduced into practice in the Department of Ophthalmology at North-Western State Medical University named after I.I. Mechnikov; this can serve as a reference model for the development of similar modules in other important and relevant areas in ophthalmology to enhance both the residency program in ophthalmology and cycles of thematic improvement for practicing ophthalmologists. Conclusion. The competency-oriented tasks developed for the module are a useful resource in both learning and evaluation of residency programs in ophthalmology and thematic improvement of ophthalmologists.
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