Indications for enucleation and evisceration in a tertiary eye hospital in Riyadh over a 10-year period.
| Autor: | Al-Dahmash SA; Dr. Saad A. Al-Dahmash, Department of Ophthalmology,, College of Medicine,King Saud University,, PO Box 240310, Riyadh 11322, Saudi Arabia, T:+966114786100 Ext.1426,, F:+9664775731, dr_dahmash@yahoo.com, ORCID: http://orcid.org/0000-0002-9326-0172., Bakry SS, Almadhi NH, Alashgar LM |
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| Jazyk: | angličtina |
| Zdroj: | Annals of Saudi medicine [Ann Saudi Med] 2017 Jul-Aug; Vol. 37 (4), pp. 313-316. |
| DOI: | 10.5144/0256-4947.2017.313 |
| Abstrakt: | Background: Enucleation and evisceration are eye removal procedures considered as palliative treatment when all other therapeutic options are exhausted. Objective: Describe the causes and histopathological findings leading to enucleation/evisceration, and correlate the clinical findings with the histopathological findings. Design: Retrospective, descriptive study. Settings: Tertiary care hospital, Riyadh, Saudi Arabia. Patients and Methods: The medical records of patients who underwent enucleation or evisceration from February 2005 to May 2015 were reviewed. Patients were classified into two categories based on indications of surgery: traumatic and nontraumatic. Causes of ocular injury in the traumatic group were documented, and the histopathological findings were reviewed for the nontraumatic cases. Main Outcome Measure(s): Number of enucleation and evisceration surgeries and their causes and histopathological findings. Results: One hundred ten patients underwent evisceration (n=69, 63%) and enucleation (n=41, 37%). Causes were traumatic in 38 (35%) and nontraumatic in 72 (65%). The median age was 50 years and there were 64 men and 46 women. Postoperative endophthalmitis was the most common indication for surgery (n=24, 21.8%), followed by painful blind eye (n=22, 20%). Ocular trauma was more predominant in men (n=29, 76%) than in women (n=9, 24%), and the leading mechanism of trauma was metallic nail injuries (n=6, 15.8%). In the nontraumatic group, endophthalmitis was the most common histopathological finding (n=25, 34.7%). Conclusions: The majority of the eye enucleation/evisceration surgeries were due to nontraumatic causes, especially postoperative infections. However, severe eye trauma was still a main indication for this destructive procedure. Guidelines are needed to decrease the incidence/severity of work-related eye injuries and to detect and manage eye infections earlier and more promptly. Limitations: Retrospective study, in one hospital in one area; therefore, results cannot be generalized. |
| Databáze: | MEDLINE |
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