Enucleation and evisceration at a tertiary care hospital in a developing country
Autor: | Mohammad A Abu Ameerh, Osama H. Ababneh, Yacoub A. Yousef, Eman A AboTaleb |
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Jazyk: | angličtina |
Rok vydání: | 2015 |
Předmět: |
Adult
Male medicine.medical_specialty Adolescent Eye Diseases medicine.medical_treatment Enucleation Developing country Ophthalmologic Surgical Procedures Eye Enucleation Tertiary Care Centers Endophthalmitis Postoperative Complications medicine Humans Child Developing Countries Evisceration (ophthalmology) Aged Retrospective Studies Aged 80 and over Jordan business.industry Eye Artificial Sympathetic ophthalmia Infant Retrospective cohort study General Medicine Middle Aged Plastic Surgery Procedures medicine.disease Surgery Ophthalmology Child Preschool Female business Ophthalmologic Surgical Procedure Eye Evisceration Research Article Orbital Implants |
Zdroj: | BMC Ophthalmology |
ISSN: | 1471-2415 |
Popis: | Background To analyze the demographics, indications, and surgical outcomes of anophthalmic surgery (enucleation and evisceration) at Jordan University Hospital during a 5-year period. Methods We conducted a retrospective chart review of patients who had undergone evisceration or enucleation between August 2006 and June 2011. The data collected included age at time of surgery, sex, affected eye, surgical indication, implant size, and postoperative complications. Results Anophthalmic surgery was performed for 68 eyes of 67 patients during the study period (42 (62 %) eviscerations and 26 (38 %) enucleations). Forty-three patients (64 %) were men, and 40 (59 %) eyes were right eyes. Trauma was the leading cause for anophthalmic surgery in 40 % of cases followed by a blind painful eye secondary to glaucoma (19 %) in the enucleation group and endophthalmitis (28.6 %) in the evisceration group. The most common anophthalmic surgery complication was wound dehiscence in 11.5 % of patients in the enucleation and 9.5 % in the evisceration groups. The mean and median sizes of the implants for evisceration were 16.6 and 18.0 mm, respectively; for enucleation, both were 20 mm. Conclusions Evisceration was the preferred anophthalmic surgery in our series unless contraindicated. Trauma was the most common predisposing factor for evisceration and enucleation in our tertiary care center followed by blind painful eyes and endophthalmitis. The most common complication was wound dehiscence in both groups. |
Databáze: | OpenAIRE |
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