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Published on: March 10, 2013
Primary implant placement with evisceration in patients with endophthalmitis
1Department of Ophthalmology, The Jules Stein Eye Institute, Los Angeles, California, USA.
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.
