title: 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.
  
  
  METHODS
  Retrospective noncomparative case series.
  
  
  METHODS
  Eleven patients with endophthalmitis and blind eyes underwent evisceration by two surgeons between 1994 and 1998.
  
  
  METHODS
  Evisceration and primary orbital implant placement.
  
  
  METHODS
  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.affiliation: Department of Ophthalmology, The Jules Stein Eye Institute, Los Angeles, California, USA.
authors.forename: S C
authors.initials: SC
authors.lastname: Dresner
authors.forename: J W
authors.initials: JW
authors.lastname: Karesh
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D009877:Endophthalmitis / Q000382:microbiology / Q000601:surgery*; D017234:Eye Evisceration; D005260:Female; D006801:Humans; D008297:Male; D020273:Orbital Implants; D011183:Postoperative Complications; D019919:Prosthesis Implantation; D012189:Retrospective Studies; D016896:Treatment Outcome