RT Journal Article
SR Electronic
T1 Indications for eye removal surgeries
JF Saudi Medical Journal
JO Saudi Med J
FD Prince Sultan Military Medical City
SP 1205
OP 1209
DO 10.15537/smj.2015.10.12031
VO 36
IS 10
A1 Mehmet T. Koylu
A1 Gokcen Gokce
A1 Yusuf Uysal
A1 Osman M. Ceylan
A1 Dorukcan Akıncıoglu
A1 Armagan Gunal
YR 2015
UL http://smj.org.sa/content/36/10/1205.abstract
AB Objectives: To analyze the indications and types of eye removals at a military tertiary care hospital in Turkey.Methods: The medical records (age, gender, affected eye, type of surgical procedure, indications of surgery) of 123 patients who underwent evisceration and enucleation in the course of a 15-year period (January 2000 to December 2014) at Gulhane Military Medical Academy, Ankara, Turkey were reviewed retrospectively.Results: The mean age was 35.61±18.52 (range 3-80 years). The number of male in the patient group was 92 (74.8%) and female was 31 (25.2%). Patients who underwent evisceration were 95 (77.2%), whereas 28 (22.8%) of them underwent enucleation. The mean age of the eviscerated patients was 30.63±13.08, whereas the mean age of the enucleated patients was 52.50±23.92 (p<0.001). The leading indications for eye amputations were trauma (n=62, 50.4%), malignancy (n=20, 16.3%), painful blind eye and absolute glaucoma (n=20, 16.3%), endophthalmitis (n=12, 9.7%), and phthisis bulbi, and cosmetic reasons (n=9, 7.3%).Conclusion: Trauma was the most common etiology for evisceration, and malignancy was the most common etiology for enucleation. Using protective eyewear and early detection of intraocular malignancy and glaucoma through routine ophthalmic examinations are essential for providing non-invasive treatment modalities instead of eye removal.