안내염 및 안구로 환자에서 시행한 안구내용제거술 및 일차보형물 삽입술 결과 비교

Abstract

Purpose: To evaluate the efficacy and prognosis of evisceration with primary orbital implant placement in patients with endophthalmitisand compare it to phthisis bulbi patients. Methods: We retrospectively reviewed the medical records of patients who underwent evisceration with primary implant placementby a single surgeon from January 2005 to December 2011 at Pusan National University Hospital. Age, gender, underlyingocular disease, systemic illness, type and size of implant, follow-up period, and the causative organism were evaluated in patientswith endophthalmitis. Success rates and prevalence of complications were compared between endophthalmitis and phthisispatients. Results: The present study included 18 patients (18 eyes) with endophthalmitis and 23 patients (23 eyes) with phthisis. Patientsin the endophthalmitis group were older than the patients in the phthisis group and no significant differences in gender, size ofimplant, and underlying diseases between endophthalmitis and phthisis patients were found. Sixteen endophthalmitis and 20phthisis patients showed successful surgical outcomes with no significant differences (p = 0.31), and implant exchange rateswere not significantly different between endophthalmitis and phthisis bulbi patients (p = 0.52). Conclusions: Evisceration with primary orbital implant placement in patients with endophthalmitis is a safe and effective treatmentmethod. Comparison between endophthalmitis and phthisis showed no significant differences in success outcomes andcomplication rates.