심한 내인성 안내염에서 시행한 안구내용제거술

Evisceration for Intractable Endogenous Endophthalmitis

`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. `