안내염 및 안구로 환자에서 시행한 안구내용제거술 및 일차 보형물 삽입술 결과 비교

• 영문명: Comparison of Evisceration with Primary Orbital Implant Surgery in Endophthalmitis and Phthisis Bulbi
• 발행기관: 대한안과학회
• 저자명: 정재호 이종헌 전혜신 최희영,Jae Ho Jung, MD, PhD, Jong Heon Lee, MD, Hye Shin Jeon, MD, Hee Young Choi, MD, PhD
• 간행물 정보: 『대한안과학회지』Ophthalmological Society,volume55,number7, 958~962쪽, 전체 5쪽
• 주제분류: 의약학 > 기타의약학
• 파일형태: PDF
• 발행일자: 2014.07.15

영문 초록

Purpose: To evaluate the efficacy and prognosis of evisceration with primary orbital implant placement in patients with endophthalmitis and compare it to phthisis bulbi patients. Methods: We retrospectively reviewed the medical records of patients who underwent evisceration with primary implant placement by a single surgeon from January 2005 to December 2011 at Pusan National University Hospital. Age, gender, underlying ocular disease, systemic illness, type and size of implant, follow-up period, and the causative organism were evaluated in patients with endophthalmitis. Success rates and prevalence of complications were compared between endophthalmitis and phthisis patients. Results: The present study included 18 patients (18 eyes) with endophthalmitis and 23 patients (23 eyes) with phthisis. Patients in the endophthalmitis group were older than the patients in the phthisis group and no significant differences in gender, size of implant, and underlying diseases between endophthalmitis and phthisis patients were found. Sixteen endophthalmitis and 20 phthisis patients showed successful surgical outcomes with no significant differences (p = 0.31), and implant exchange rates were 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 treatment method. Comparison between endophthalmitis and phthisis showed no significant differences in success outcomes and complication rates. J Korean Ophthalmol Soc 2014;55(7):958-962

키워드

Endophthalmitis, Evisceration, Phthisis bulbi