Ocular Evisceration in Mansoura Ophthalmic Center: A Retrospective Study

Document Type : Original Articles

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Mansoura Ophthalmic Center, Mansoura University

Abstract

Purpose:To assess the demographic characteristics and indications for ocular evisceration in Mansoura ophthalmic center, in the period from January 2015to December2022.
Methods:Every patient record from eviscerations carried out at the Mansoura Ophthalmic Centre between January 2015and December 2022was scrutinised. Clinical history, reasons for surgery, laterality, types of anaesthesia, and post-operative problems were all reviewed. The clinical history, examination, and investigations were used to determine the causal agent of the evisceration, which was found in the medical records.
Results:Evisceration was performed in127eyes of127patients,59.1%males and 40.9%females, Their mean age was 60.9ranged from 6 to 94years, The most common indication for ocular evisceration was endophthalmitis, accounting for 43.3of cases, the second most common indication was corneal conditions (severe keratitis or melting/perforation in blind eye), accounting for40.1%of cases. Other indications included11.8%Painful Disfigured blind eye and 4.7%acute Penetrating trauma. Of the 127evisceration patients, 86(67.7%)underwent evisceration under local anesthesia, while41(32.3%) underwent evisceration under general anesthesia, 35patients(27.5%)had an implant placed, while 92patients(72.5%)did not have an implant placed. Post operative complications were found in in 9.5%of the cases, including Wound dehiscence occur in 4(3.2%)patients, while Wound infection were reported in3(2.4%)case, socket contraction in2(1.6%)patients and ectropion reported in2(1.6%)patients.
Conclusion:Guidelines are required in order to identify and treat eye infections as soon as feasible. The most prevalent cause of ocular evisceration was endophthalmitis, followed closely by corneal abnormalities such as severe keratitis or melting/perforation in blind eyes. In most cases indicating anophthalmic surgery, evisceration surgery is a safe and realistic therapeutic option after ruling out any intraocular malignant tumour.

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