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Indications for enucleation and evisceration in a tertiary eye hospital in Riyadh over a 10-year period
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 his...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
King Faisal Specialist Hospital and Research Centre
2017
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6150595/ https://www.ncbi.nlm.nih.gov/pubmed/28761031 http://dx.doi.org/10.5144/0256-4947.2017.313 |
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author | Al-Dahmash, Saad A. Bakry, Sawsan Saad Almadhi, Nada H. Alashgar, Lolwah M. |
author_facet | Al-Dahmash, Saad A. Bakry, Sawsan Saad Almadhi, Nada H. Alashgar, Lolwah M. |
author_sort | Al-Dahmash, Saad A. |
collection | PubMed |
description | 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. |
format | Online Article Text |
id | pubmed-6150595 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2017 |
publisher | King Faisal Specialist Hospital and Research Centre |
record_format | MEDLINE/PubMed |
spelling | pubmed-61505952018-09-25 Indications for enucleation and evisceration in a tertiary eye hospital in Riyadh over a 10-year period Al-Dahmash, Saad A. Bakry, Sawsan Saad Almadhi, Nada H. Alashgar, Lolwah M. Ann Saudi Med Original Article 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. King Faisal Specialist Hospital and Research Centre 2017 /pmc/articles/PMC6150595/ /pubmed/28761031 http://dx.doi.org/10.5144/0256-4947.2017.313 Text en © 2017 Annals of Saudi Medicine This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License (https://creativecommons.org/licenses/by-nc-nd/4.0/) . |
spellingShingle | Original Article Al-Dahmash, Saad A. Bakry, Sawsan Saad Almadhi, Nada H. Alashgar, Lolwah M. Indications for enucleation and evisceration in a tertiary eye hospital in Riyadh over a 10-year period |
title | Indications for enucleation and evisceration in a tertiary eye hospital in Riyadh over a 10-year period |
title_full | Indications for enucleation and evisceration in a tertiary eye hospital in Riyadh over a 10-year period |
title_fullStr | Indications for enucleation and evisceration in a tertiary eye hospital in Riyadh over a 10-year period |
title_full_unstemmed | Indications for enucleation and evisceration in a tertiary eye hospital in Riyadh over a 10-year period |
title_short | Indications for enucleation and evisceration in a tertiary eye hospital in Riyadh over a 10-year period |
title_sort | indications for enucleation and evisceration in a tertiary eye hospital in riyadh over a 10-year period |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6150595/ https://www.ncbi.nlm.nih.gov/pubmed/28761031 http://dx.doi.org/10.5144/0256-4947.2017.313 |
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