Topic: ESOPRS 2021 ePoster sessions
Time: Sep 17, 2021 16:00 Amsterdam, Berlin, Rome, Stockholm, Vienna, 15:00 London
(plain text version here)
Outcomes of Primary Orbital Implantation In Evisceration/Enucleation In Patients With Endophthalmitis in a Tertiary Hospital
Author: Saleh alrasahed
ePoster Number: 243,00
Purpose
Endophthalmitis is a severe ophthalmic emergency, treated with either intravitreal injections, pars plana vitrectomy or a combination of both. However, there are cases when these options are not of use and fear of the infection spreading into the surrounding orbit or even intracranially arises. In these circumstances preforming evisceration or enucleation is the best option of management. The aim of this paper is to the study outcomes of primary orbital implantation in endophthalmitis patients and analyze the risk factors contributing to exposure and extrusion.
Methods
This a retrospective study that was conducted in KKESH. Data was collected in approximate 10-year interval, from the March 2014 to December 2023. We included 98 cases of endopthalmitis and excluded other non-endophthalmitis cases, cases with not enough information and lastly cases with endophthalmitis without primary orbital implant. This research was approved by the Research Council and by the Human Investigation Committee of the KKESH, Riyadh, Saudi Arabia.
Results
A total of 98 patients with 98 eyes with primary orbital implant were reviewed. Of the those who underwent enucleation were 8 and 90 were underwent evisceration. 56 (57.1%) male and 42 (42.9%) and female. Ages ranged from young as 2 months to 90 years of ages. Average duration of follow up was 27.5 ±28.5 months, and the average duration of from the presentation to the date of the surgery was 27.1 ±83.4 days. 10 (10.2%) of the patient had exposure/extrusion postoperative.
Conclusion
Some studies have supported the idea, that orbital implantation in endophthalmitis should be a primary procedure and some believed in delaying orbital implantation to avoid complications of exposure/extrusion post-operative. We believe that primary orbital implantation in endophthalmitis patients carries no additional risks of exposure/extrusion procedure and should be done in all surgeries, unless severe inflammation was noted intraoperatively that worries orbital implant exposure. More studies in a prospective manner should be done in future studies.
Additional Authors
| First name | Last name | Base Hospital / Institution |
|---|---|---|
| Hamad Alsuliman |
Abstract ID: 25-158
