Evisceration for Intractable Endogenous Endophthalmitis.

Huh, Yun Sung; Chung, Hwa Sun; Son, Jun Hyuck

doi:2008.49.3.396

J Korean Ophthalmol Soc > Volume 49(3); 2008 > Article

Original Article

Journal of the Korean Ophthalmological Society 2008;49(3):396-400.
DOI: https://doi.org/10.3341/jkos.2008.49.3.396 Published online March 31, 2008.

Evisceration for Intractable Endogenous Endophthalmitis.

Yun Sung Huh, Hwa Sun Chung, Jun Hyuck Son

¹Department of Ophthalmology, Yeungnam University College of Medicine, Daegu, Korea. ydkimoph@skku.edu
²Chung Hwa-Sun Eye Clinic, Daegu, Korea.

심한 내인성 안내염에서 시행한 안구내용제거술

허윤성¹ㆍ정화선²ㆍ손준혁¹

Department of Ophthalmology, Yeungnam University College of Medicine1, Daegu, KoreaChung Hwa-Sun Eye Clinic2, Daegu, Korea

Correspondence: Yun-Sung Huh, M.D.1

Abstract

PURPOSE
To evaluate the clinical aspects of severe endogenous endophthalmitis requiring evisceration,particularly underlying disease, causative microorganisms, and infection focus, and to assess the outcome of evisceration. METHODS: The records of 13 patients who were diagnosed with endogenous endophthalmitis requiring evisceration and treated at Yeungnam University Hospital from July 1994 to April 2007 were retrospectively reviewed. RESULTS: Of the 13 patients, all patients had diabetes mellitus, five had advanced liver disease, and one had aplastic anemia. Infection foci were pyelonephritis, pneumonia, and liver abscess. Five cases were confirmed with positive culture of lebsiella pneumoniae. Ten cases underwent evisceration with hydroxyapatite implantation, and three cases were treated conservatively because the patient was in poor systemic condition. Of the 10 patients who underwent evisceration, ocular implants were exposed in five cases. CONCLUSIONS: This study suggests that evisceration with primary orbital implant insertion for endogenous endophthalmitis involves the risk of implant exposure, but after secondary repair, all patients have stable clinical courses.

Key Words: Endogenous endophthalmitis;Evisceration;Primary orbital implant insertion