심한 내인성 안내염에서 시행한 안구내용제거술

• 영문명: Evisceration for Intractable Endogenous Endophthalmitis
• 발행기관: 대한안과학회
• 저자명: 허윤성 정화선 손준혁,Yun-Sung Huh, M.D., Hwa-Sun Chung, M.D., Jun-Hyuck Son, M.D.
• 간행물 정보: 『대한안과학회지』Ophthalmological Society,volume49,number3, 396~400쪽, 전체 5쪽
• 주제분류: 의약학 > 기타의약학
• 파일형태: PDF
• 발행일자: 2008.03.31

영문 초록

`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. `

키워드

Endogenous endophthalmitis, Evisceration, Primary orbital implant insertion