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

• Main Authors: Hasenin Al-khersan, Nathan Pirakitikulr, Meghana Kalavar, Kevin Clauss, Nimesh A. Patel, Nicolas A. Yannuzzi, Chrisfouad Alabiad, Wendy W. Lee, Audina M. Berrocal
• Format: Article
• Language: English
• Published: Elsevier 2021-06-01
• Series: American Journal of Ophthalmology Case Reports
• Subjects: Endophthalmitis; Retina; Oculoplastics; Evisceration
• Online Access: http://www.sciencedirect.com/science/article/pii/S2451993621000906
• ISSN: 2451-9936

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.