Primary implant placement with evisceration in patients with endophthalmitis.

Abstract

OBJECTIVE:

To evaluate the efficacy of primary orbital implant placement with evisceration in patients with endophthalmitis and blind eyes.

DESIGN:

Retrospective noncomparative case series.

PARTICIPANTS:

Eleven patients with endophthalmitis and blind eyes underwent evisceration by two surgeons between 1994 and 1998.

INTERVENTION:

Evisceration and primary orbital implant placement.

MAIN OUTCOME MEASURES:

All patients were evaluated for implant exposure and successful fitting of their prostheses.

RESULTS:

Ten of 11 patients had uneventful postoperative courses and successful prosthetic fitting. One patient with Pseudomonas aeruginosa endophthalmitis had an implant exposure successfully treated with a fascia lata patch.

CONCLUSIONS:

Primary orbital implant placement with evisceration in patients with endophthalmitis is an acceptable treatment, eliminating the need for open evisceration and subsequent delayed orbital implant placement.

• Authors: S C Dresner, J W Karesh
• Journal: Ophthalmology (Ophthalmology) Vol. 107 Issue 9 Pg. 1661-4; discussion 1664-5 (Sep 2000) ISSN: 0161-6420 [Print] United States
• PMID: 10964824 (Publication Type: Journal Article)

Topics

• Aged
• Aged, 80 and over
• Endophthalmitis (microbiology, surgery)
• Eye Evisceration
• Female
• Humans
• Male
• Orbital Implants
• Postoperative Complications
• Prosthesis Implantation
• Retrospective Studies
• Treatment Outcome