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Enucleation and evisceration at a tertiary care hospital in a developing country

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 betwee...

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Autores principales: Ababneh, Osama H., AboTaleb, Eman A., Abu Ameerh, Mohammad A., Yousef, Yacoub A.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2015
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4566484/
https://www.ncbi.nlm.nih.gov/pubmed/26362425
http://dx.doi.org/10.1186/s12886-015-0108-x
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author Ababneh, Osama H.
AboTaleb, Eman A.
Abu Ameerh, Mohammad A.
Yousef, Yacoub A.
author_facet Ababneh, Osama H.
AboTaleb, Eman A.
Abu Ameerh, Mohammad A.
Yousef, Yacoub A.
author_sort Ababneh, Osama H.
collection PubMed
description 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.
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spelling pubmed-45664842015-09-12 Enucleation and evisceration at a tertiary care hospital in a developing country Ababneh, Osama H. AboTaleb, Eman A. Abu Ameerh, Mohammad A. Yousef, Yacoub A. BMC Ophthalmol Research Article 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. BioMed Central 2015-09-11 /pmc/articles/PMC4566484/ /pubmed/26362425 http://dx.doi.org/10.1186/s12886-015-0108-x Text en © Ababneh et al. 2015 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
spellingShingle Research Article
Ababneh, Osama H.
AboTaleb, Eman A.
Abu Ameerh, Mohammad A.
Yousef, Yacoub A.
Enucleation and evisceration at a tertiary care hospital in a developing country
title Enucleation and evisceration at a tertiary care hospital in a developing country
title_full Enucleation and evisceration at a tertiary care hospital in a developing country
title_fullStr Enucleation and evisceration at a tertiary care hospital in a developing country
title_full_unstemmed Enucleation and evisceration at a tertiary care hospital in a developing country
title_short Enucleation and evisceration at a tertiary care hospital in a developing country
title_sort enucleation and evisceration at a tertiary care hospital in a developing country
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4566484/
https://www.ncbi.nlm.nih.gov/pubmed/26362425
http://dx.doi.org/10.1186/s12886-015-0108-x
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