Primary evisceration for neonatal endogenous endophthalmitis: A report of two cases

Hasenin Al-khersan, Nathan Pirakitikulr, Meghana Kalavar, Kevin Clauss, Nimesh A. Patel, Nicolas A. Yannuzzi, Chrisfouad Alabiad, Wendy W. Lee, Audina M. Berrocal

Research output: Contribution to journalArticlepeer-review

Abstract

Purpose: To present two cases of neonatal endophthalmitis with poor prognosis that were managed with primary evisceration. Observations: Case 1 is a 27-weeks’ gestation neonate who developed Pseudomonas aeruginosa endophthalmitis complicated by globe rupture. Case 2 describes a 34-weeks’ gestation neonate with Serratia marcescens endophthalmitis. Both patients had poor prognosis and thus underwent primary evisceration with good long-term cosmetic outcomes at 15 years and 17 months, respectively. Conclusions and Importance: Primary evisceration should be considered in neonates with endophthalmitis with a poor prognosis and can result in good long-term cosmesis.

Original languageEnglish (US)
Article number101081
JournalAmerican Journal of Ophthalmology Case Reports
Volume22
DOIs
StatePublished - Jun 2021

Keywords

  • Endophthalmitis
  • Evisceration
  • Oculoplastics
  • Retina

ASJC Scopus subject areas

  • Ophthalmology

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