Risk Factors Leading to Enucleation or Evisceration in Endophthalmitis.

Kim, Jung Yeul; Wang, Seon Jin; Park, Chang Jun; Lee, Sung Bok

doi:2007.48.10.1362

J Korean Ophthalmol Soc > Volume 48(10); 2007 > Article

Original Article

Journal of the Korean Ophthalmological Society 2007;48(10):1362-1368.
DOI: https://doi.org/10.3341/jkos.2007.48.10.1362 Published online October 31, 2007.

Risk Factors Leading to Enucleation or Evisceration in Endophthalmitis.

Jung Yeul Kim, Seon Jin Wang, Chang Jun Park, Sung Bok Lee

¹Department of Ophthalmology, Chungnam National University College of Medicine, Daejeon, Korea. sblee@cnu.ac.kr
²Research Institute for Medical Science, Daejeon, Korea.

안내염 환자에서 안구적출술 또는 안구내용제거술을 시행하게 되는 위험 인자

김정열^1,2,왕선진¹,박창준¹,이성복^1,2

Department of Ophthalmology, Chungnam National University College of Medicine¹, Daejeon, Korea Research Institute for Medical Science², Daejeon, Korea

Correspondence: Sung Bok Lee, M.D.

Abstract

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.

Key Words: Diabetes mellitus;Endophthalmitis;Enucleation;Evisceration