안내염 환자에서 안구적출술 또는 안구내용제거술을 시행하게 되는 위험 인자

• 영문명: Risk Factors Leading to Enucleation or Evisceration in Endophthalmitis
• 발행기관: 대한안과학회
• 저자명: 김정열 왕선진 박창준 이성복,Jung Yeul Kim, M.D.,, Seon Jin Wang, M.D., Chang Jun Park, M.D., Sung Bok Lee, M.D.,
• 간행물 정보: 『대한안과학회지』Ophthalmological Society,volume48,number10, 1362~1368쪽, 전체 7쪽
• 주제분류: 의약학 > 기타의약학
• 파일형태: PDF
• 발행일자: 2007.10.31

영문 초록

Purpose: To evaluate the risk factors associated with enucleation or evisceration in endophthalmitis patients. Methods: The medical records of endophthalmitis cases from January 1995 to July 2006 were reviewed retrospectively. The cases were divided into 2 groups, the enucleation/evisceration group (36 eyes of 36 patients) who underwent enucleation or evisceration and the intraocular procedures group (61 eyes of 60 patients) who received intravitreal antibiotics injection and/or vitrectomy. We analyzed these cases with respect to age, sex, initial visual acuity, causes of endophthalmitis, systemic disease, and causative organisms. Results: Older age (p=0.002), women (17/32, p=0.027), no light perception at presentation (33/37, p<0.001), endophthalmitis associated with corneal ulcer (25/25, p<0.001), and diabetes mellitus (14/20, p=0.001) were significantly associated with enucleation or evisceration. Conclusions: Older age, poor initial visual acuity, endophthalmitis associated with corneal ulcer, and diabetes mellitus were strongly associated with enucleation or evisceration. If any of these factors are present, more intensive treatments are warranted to prevent loss of the eye.

키워드

Diabetes mellitus, Endophthalmitis, Enucleation, Evisceration