Enucleation and evisceration: indications, complications and

发布时间：2018-02-27 20:57

本文关键词： enucleation evisceration retinoblastoma malignant melanoma ocular injury　出处：《International Journal of Ophthalmology》2014年04期 　论文类型：期刊论文

【摘要】：·AIM: To assess main indications, postoperative complications and clinicopathological correlation of ocular enucleation-evisceration.·METHODS: A total of 107 subjects who underwent enucleation and/or evisceration and received hydroxyapatite implants(Scleral wrap or mesh) were assessed. For each patient clinicopathological data was collected which included demographic information,clinical history, primary clinical diagnosis, main cause of ophthalmic surgery(traumatic, non-traumatic), type of surgical procedure(enucleation, evisceration) and pathological report. Patients' postoperative clinical visits were checked for procedure-related complications during first year after surgery.·RESULTS: One hundred and seven patients(male:65.4%; mean age: 26y) underwent enucleation(n=100) or evisceration(n =7) due to traumatic(n =41) and non-traumatic(n =66) causes. Disfiguring painful blind eye was the most common indication of surgery(66.4%),followed by leukocoria(19.6%) and endophthalmitis(4.7%). The main types of injury included firecracker,traffic and work accidents, and sharp object perforating injury. In 53(80.3%) subjects in non-traumatic group the initial clinical diagnosis matched the histopathologicalresults. Malignant tumors(retinoblastoma: 47.5%,malignant melanoma: 27.3%) were the most common pathological diagnoses followed by phthisis bulbi(25.8%).The most common procedure-related complications were major eye discharge(39.6%), and implant exposure and discharge(20.8%).·CONCLUSION: Trauma and malignant tumors are the leading causes of enucleation-evisceration. Despite developing new techniques and materials, enucleation is still associated with considerable postoperative complications.
[Abstract]:路AIMA: to assess main indications. postoperative complications and clinicopathological correlation of ocular enucleation-evisceration.METHODS.A total of 107 subjects who underwent enucleation and/or evisceration and received hydroxyapatite implants(Scleral wrap or mesh) were each each each clinicopathological data was collected which included included demographic information history primary clinical diagnosis, clinical primary of #en3surgerybruising, primary of surgical #enredureenucleosis, type of surgical procedure clinical visits. During first year after surgery..RESULTS: One hundred and seven patient: 65.45.45.45.4; mean age26y) underwent enucleation or evisceration(n 7) due to traumatic(n 14# 61)) causes. Disfiguring painful blind was the most common common common of surg66.4ns followed by leukocoria19.6e) and endophthalmitimiante4.7b The main types of injury included types of injury included #en3cidac1#, and and and work #en3yinjurin #en338# #en4381# #en4381# #en4381#. Were the most common pathological diagnoses followed by phthisis bulbi(25.8%).The most common procedure-related complications were major eye dischargeable, and implant exposure and discharge20.88.CONCLUSION: Trauma and malignant are the leading causes of enucleation. Despite developing new techniques and and and
【作者单位】： Department
【分类号】：R739.7

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