ArticleTransactions of the American Ophthalmological Society2005
A comparison of implant extrusion rates and postoperative pain after evisceration with immediate or delayed implants and after enucleation with implants.
Article in Transactions of the American Ophthalmological Society, 2005. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.
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Who cites it
9 citing papers in PubMed, 1 synthesis or guideline pooled it, 25 citations in OpenAlex.
- Integrated versus non-integrated orbital implants for treating anophthalmic sockets.The Cochrane database of systematic reviews · 2016Pooled it
- Outcomes of primary orbital implantation in evisceration/enucleation in patients with endophthalmitis in a tertiary hospital.BMC ophthalmology · 2026Article
- Article
- [Identifying patients with risk for severe pain after ophthalmological surgery].Die Ophthalmologie · 2023Review
- Surgical outcomes of orbital evisceration with primary orbital implant placement in patients with endophthalmitis.Eye (London, England) · 2023Article
- Risk Factors for Orbital Implant Extrusion after Evisceration.Journal of clinical medicine · 2021Article
- Risk factors for orbital implant exposure after evisceration: A case control study of 93 patients.Indian journal of ophthalmology · 2019Article
- Risk factors associated with postoperative pain after ophthalmic surgery: a prospective study.Therapeutics and clinical risk management · 2016Article
- The effect of cancer therapies on pediatric anophthalmic sockets.Ophthalmology · 2011Article
Corrections and comments
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Authors and funding
1 author at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeTo examine implant extrusion rates after evisceration with immediate or delayed implants in patients with culture-proven endophthalmitis. To compare postevisceration and postenucleation pain.
methodsThis prospective, nonrandomized interventional case series included four groups of patients: group 1, 25 endophthalmitis patients undergoing evisceration with immediate implants; group 2, 15 endophthalmitis patients undergoing evisceration with delayed implants; group 3, 31 patients without endophthalmitis undergoing evisceration with immediate implants; and group 4, eight patients undergoing enucleations with implants. Standardized techniques and follow-up schedules were used. Postoperative pain was assessed by weighted frequency of pain medications used during two 48-hour periods. Statistical analysis was performed. Retrospective review of two series of patients undergoing evisceration was performed.
resultsNo cases of implant extrusion occurred during an average follow-up of 37.9 months. Average implant size was 19.0 mm. Conjunctival dehiscence occurred in one patient. Average total pain scores were 20.8 in endophthalmitis patients with immediate implants; 22.1 in endophthalmitis patients with delayed implants; 20.3 in patients without endophthalmitis and with immediate implants; and 23.1 in patients with enucleations and immediate implant insertions. Retrospective review suggested possible causes of implant extrusion.
conclusionBoth immediate and delayed implant techniques appear safe in patients with endophthalmitis, with the former being simpler, more cost-effective, and perhaps less painful. Prolonged antibiotic therapy and smaller implants may render a false sense of security against implant extrusion; good surgical technique and meticulous postoperative wound care are essential. Postenucleation pain appears more severe than postevisceration pain.
Indexed as
Identifiers
17057818PMC1447574W2151701925What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.