Journal List > J Korean Ophthalmol Soc > v.49(3) > 1008202

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Huh, Chung, and Son: Evisceration for Intractable Endogenous Endophthalmitis
Original Article

J Korean Ophthalmol Soc 2008;49(3):396-400.

Published online: 7 September 2008

DOI: https://doi.org/10.3341/jkos.2008.49.3.396

Evisceration for Intractable Endogenous Endophthalmitis

Yun-Sung Huh, M.D.1, Hwa-Sun Chung, M.D.2, Jun-Hyuck Son, M.D.1

1Department of Ophthalmology, Yeungnam University College of Medicine, Daegu, Korea

2Chung Hwa-Sun Eye Clinic, Daegu, Korea

Address reprint requests to Jun-Hyuck Son, M.D. Department of Ophthalmology, Yeungnam University College of Medicine #317-1 Daemyung-dong, Nam-gu, Daegu 705-717, Korea Tel: 82-53-620-3444, Fax: 82-53-626-5936, E-mail: sjh@med.yu.ac.kr

Received 29 May 2007       Accepted 31 October 2007

Copyright © 2008 Korean Ophthalmological Society

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Purpose

To evaluate the clinical aspects of severe endogenous endophthalmitis requiring evisceration, particularly underlying disease, causative microorganisms, and infection focus, and to assess the outcome of evisceration.

Methods

The records of 13 patients who were diagnosed with endogenous endophthalmitis requiring evisceration and treated at Yeungnam University Hospital from July 1994 to April 2007 were retrospectively reviewed.

Results

Of the 13 patients, all patients had diabetes mellitus, five had advanced liver disease, and one had aplastic anemia. Infection foci were pyelonephritis, pneumonia, and liver abscess. Five cases were confirmed with positive culture of Klebsiella pneumoniae. Ten cases underwent evisceration with hydroxyapatite implantation, and three cases were treated conservatively because the patient was in poor systemic condition. Of the 10 patients who underwent evisceration, ocular implants were exposed in five cases.

Conclusions

This study suggests that evisceration with primary orbital implant insertion for endogenous endophthalmitis involves the risk of implant exposure, but after secondary repair, all patients have stable clinical courses.

Keywords: Endogenous endophthalmitis, Evisceration, Primary orbital implant insertion

References

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Table 1.
Patient data and results of treatment
Case Sex Age Infected eye Visual aquity Underlying disease Infection focus Causative microorganism Treatment Exposed Implant
1 M 49 OS NLP DM Pyelonephritis (−) * Evi č HAP (−)
2 M 44 OD LP DM Pneumonia (−) Evi č HAP (+)
3 F 52 OD NLP DM, Hepatoma Liver abscess P. aeruginosa Conservative  
4 M 61 OS NLP DM, Hepatoma Liver abscess K. pneumoniae Evi č HAP (+)
5 F 62 OD NLP DM, Hepatoma Liver abscess P. aeruginosa Evi č HAP (−)
6 M 63 OS LP DM, Hepatoma Pyelonephritis (−) Evi č HAP (−)
7 F 65 OD NLP DM Pneumonia K. pneumoniae Evi č HAP (+)
8 M 42 OD NLP DM Pyelonephritis K. pneumoniae Evi č HAP (−)
9 M 36 OD NLP DM Pneumonia (−) Evi č HAP (−)
10 F 42 OD NLP DM, Liver cirrhosis Pyelonephritis K. pneumoniae Evi č HAP (+)
11 F 60 OD NLP DM Pyelonephritis K. pneumoniae Conservative  
12 M 62 OD NLP DM Pneumonia S. aureus Conservative  
13 F 67 OS LP DM, Aplastic anemia Pyelonephritis (−) Evi č HAP (+)

* Evi č HAP=evisceartion with hydroxyapatite insertion.

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