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Published on: February 6, 2021
Primary evisceration for neonatal endogenous endophthalmitis: A report of two cases
Hasenin Al-Khersan1, Nathan Pirakitikulr1, Meghana Kalavar1
1Department of Ophthalmology, Bascom Palmer Eye Institute, University of Miami-Miller School of Medicine, Miami, FL, United States.
Purpose:
To present two cases of neonatal endophthalmitis with poor prognosis that were managed with primary evisceration.
Observations:
Case 1 is a 27-weeks' gestation neonate who developed Pseudomonas aeruginosa endophthalmitis complicated by globe rupture. Case 2 describes a 34-weeks' gestation neonate with Serratia marcescens endophthalmitis. Both patients had poor prognosis and thus underwent primary evisceration with good long-term cosmetic outcomes at 15 years and 17 months, respectively.
Conclusions And Importance:
Primary evisceration should be considered in neonates with endophthalmitis with a poor prognosis and can result in good long-term cosmesis.

