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

doi:10.1016/j.ajoc.2021.101081

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

Am J Ophthalmol Case Rep. 2021 Apr 3:22:101081. doi: 10.1016/j.ajoc.2021.101081. eCollection 2021 Jun.

Authors

Hasenin Al-Khersan¹, Nathan Pirakitikulr¹, Meghana Kalavar¹, Kevin Clauss¹, Nimesh A Patel¹, Nicolas A Yannuzzi¹, Chrisfouad Alabiad², Wendy W Lee², Audina M Berrocal¹

Affiliations

¹ Department of Ophthalmology, Bascom Palmer Eye Institute, University of Miami-Miller School of Medicine, Miami, FL, United States.
² Division of Oculofacial Plastic and Reconstructive Surgery, Bascom Palmer Eye Institute, University of Miami-Miller School of Medicine, Miami, FL, United States.

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.

Keywords: Endophthalmitis; Evisceration; Oculoplastics; Retina.

Publication types

Case Reports