Primary implant placement with evisceration in patients with endophthalmitis

To evaluate the efficacy of primary orbital implant placement with evisceration in patients with endophthalmitis and blind eyes. Retrospective noncomparative case series. Eleven patients with endophthalmitis and blind eyes underwent evisceration by two surgeons between 1994 and 1998. Evisceration and primary orbital implant placement. All patients were evaluated for implant exposure and successful fitting of their prostheses. Ten of 11 patients had uneventful postoperative courses and successful prosthetic fitting. One patient with Pseudomonas aeruginosa endophthalmitis had an implant exposure successfully treated with a fascia lata patch. Primary orbital implant placement with evisceration in patients with endophthalmitis is an acceptable treatment, eliminating the need for open evisceration and subsequent delayed orbital implant placement.