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2015 ; 8
(5
): 1024-30
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Removal of the eye in a tertiary care center of China: a retrospective study on
573 cases in 20 years
#MMPMID26558221
Zhang Y
; Zhang MN
; Wang X
; Chen XF
Int J Ophthalmol
2015[]; 8
(5
): 1024-30
PMID26558221
show ga
AIM: To investigate the original protopathy, direct indications, clinical
characteristics, complications of orbit plants and visual conditions of eye
enucleation/evisceration. METHODS: A retrospective study of 573 eyes removed (573
inpatients) at Ophthalmology Department in a tertiary care center of China from
January 1993 to December 2012 was completed. RESULTS: Cases underwent removal of
the eye accounted for 2.15% of total ophthalmology inpatients, whose annual
frequency declined from 3.80% to 0.52%. There were 167 eyes (29.14%) being
enucleated and 406 (70.86%) eviscerated. Annual proportion of evisceration rose
from 16.67% in 1993 to 90.48% in later years. Trauma was the top one (65.62%) in
original protopathies followed by neoplasm (13.44%) and ocular infections
(5.76%). Phthisis bulbi (45.20%) was the most common direct indication, succeeded
by malignant tumor (12.57%), loss/unreconstructed of intraocular tissues due to
trauma (11.00%), untreatable inflammation (9.60%), intractable glaucoma (8.55%)
and sclerocorneal staphyloma (5.24%). Exenteration was underwent in 20 (25.97%)
cases (40% for recurrent carcinoma). Following evisceration, secondary prosthesis
implantation was more and earlier, implant exposure occurred in less but earlier
and infection and extraction/exchange of implants were more than those following
enucleation. Male, phthisis bulbi, evisceration and secondary implantation meant
lower risk of implant exposure; eyes removed within 24h following trauma was an
independent risk factor. There were 14.37% of eyes with vision of light
perception at least as been removed. In the residual contralateral eyes, low
vision accounted 5.58% and blindness 3.14%. CONCLUSION: Ocular trauma, tumor and
infections were great threats to eyeball preservation. Early and effective
controlling of any original protopathies was vital. Generally evisceration
presented more superior and safe outcomes than enucleation did. Visual conditions
of the sufferers should be focused on.