Primary implant placement with evisceration in patients with endophthalmitis.
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.
Dresner
S C
SC
Department of Ophthalmology, The Jules Stein Eye Institute, Los Angeles, California, USA.
Karesh
J W
JW
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