title: Evisceration with Primary Orbital Implant in Fulminant Endophthalmitis/Panophthalmitis.
abstract: OBJECTIVE
  To compare the outcome of evisceration with primary orbital implant in blind eyes with and without fulminant infection (endophthalmitis/panophthalmitis).
  
  
  METHODS
  Retrospective nonrandomized comparative interventional case series. Patients with a minimum postoperative follow-up of 6 months were considered for inclusion. Thirty-four eyes of 34 patients were included. Sixteen eyes were infective and 18 noninfective. Nonporous silicone implants were used for all cases and the main outcome measure was successful retention of the primary implant. Major and minor complications and successful prosthesis fitting were also noted.
  
  
  RESULTS
  All except 3 cases were able to retain the primary implant successfully and all but 2 patients underwent successful prosthesis fitting. Major complications included implant extrusion in 3 cases (2 infective, 1 noninfective) and implant exposure in 1 case (noninfective). The difference in major complications between the groups was not statistically significant (p = 0.66, Fisher exact test).
  
  
  CONCLUSIONS
  Our data suggest that evisceration with primary orbital implant is a feasible option in fulminant endophthalmitis/panophthalmitis and provides a good postoperative cosmetic outcome to the anophthalmic socket at an economical cost.
authors: a Oculoplastics, Orbit & Ocular Oncology Services, Priyamvada Birla Aravind Eye Hospital , Kolkata , West Bengal , India and.
authors: Devjyoti
authors: D
authors: Tripathy
authors: b Oculoplastics, Orbit & Ocular Oncology Services, LV Prasad Eye Institute , Bhubaneswar , Odisha , India.
authors: Suryasnata
authors: S
authors: Rath
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002648:Child; D002675:Child, Preschool; D009877:Endophthalmitis / Q000382:microbiology / Q000601:surgery*; D017234:Eye Evisceration; D005137:Eye, Artificial; D005260:Female; D006801:Humans; D007223:Infant; D008297:Male; D008875:Middle Aged; D020273:Orbital Implants; D010202:Panophthalmitis / Q000382:microbiology / Q000601:surgery*; D011183:Postoperative Complications; D011475:Prosthesis Failure; D017755:Prosthesis Fitting; D019919:Prosthesis Implantation; D012189:Retrospective Studies
keywords: Endophthalmitis; evisceration; panophthalmitis; primary implant