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      Indications for ocular evisceration and orbital implant related complications in a tertiary eye hospital in Hungary over an 11-year period

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          Abstract

          Purpose

          Our aims were to evaluate the primary and clinical evisceration indications and to analyse orbital implant related complications.

          Materials/methods

          We included in our retrospective review all eviscerations between 2006 and 2016 at the Department of Ophthalmology of Semmelweis University, Budapest, Hungary. Primary evisceration indications were classified into six groups: trauma, surgical diseases, infections or inflammations, systemic diseases, tumours and unclassifiable diseases. Clinical immediate evisceration indications were also classified into six groups: painful blind eye due to glaucoma, atrophia/phthisis bulbi, endophthalmitis, cosmetic reasons, acute trauma and expulsive bleeding.

          Results

          Evisceration was performed in 46 eyes of 46 patients (54.3% males, age 43.0 ± 18.6 years). The most common primary evisceration indications were trauma (37%), surgical diseases (34.8%), infection or inflammation (10.9%), systemic diseases (6.5%), tumours (8.7%) and unclassifiable diseases (2.2%). Painful blind eye due to glaucoma (34.8%) was the most common clinical indication for evisceration, followed by atrophia/phthisis bulbi (26.1%), endophthalmitis (17.4%), cosmetic reasons (13.0%), acute trauma (6.5%) and expulsive bleeding (2.2%). After evisceration, 91.3% of the patients received orbital implant and during 26.8±28.9 months follow-up implant related complications were found in 14.3% of the cases, including implant extrusion (4.8%), partial wound dehiscence (4.8%), implant exposure (2.4%) and orbital inflammation (2.4%).

          Conclusion

          Painful blind eye and atrophia/phthisis bulbi due to ocular trauma and surgical diseases represent the most common indications for ocular evisceration. If malignant intraocular tumours can be excluded, evisceration surgery combined with a silicon-based orbital implant is a safe and effective procedure.

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          Author and article information

          Contributors
          Journal
          2066
          Developments in Health Sciences
          DHS
          Akadémiai Kiadó (Budapest )
          2630-9378
          2630-936X
          03 December 2020
          18 November 2020
          : 3
          : 2
          : 39-43
          Affiliations
          [1 ] Department of Ophthalmology, Semmelweis University , Budapest, Hungary
          [2 ] Department of Ophthalmology, Saarland University Medical Center, UKS , Homburg, Saar, Germany
          [3 ] Department of Ophthalmology, Bajcsy-Zsilinszky Hospital , Budapest, Hungary
          [4 ] Faculty of Health Sciences, Semmelweis University , Budapest, Hungary
          Author notes
          [* ]Corresponding author. Department of Ophthalmology Semmelweis University Mária utca 39 . Budapest, H-1085, Hungary. gabortothgabor@ 123456gmail.com
          Article
          10.1556/2066.2020.00008
          48aea0e3-513b-4c1b-a8c3-aee8325e29ef
          © 2020 The Author(s)

          Open Access. This is an open-access article distributed under the terms of the Creative Commons Attribution 4.0 International License ( https://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited, a link to the CC License is provided, and changes – if any – are indicated. (SID_1)

          Page count
          Figures: 4, Equations: 0, References: 21, Pages: 05
          Categories
          Original Research Paper
          Custom metadata
          1

          Medicine,Immunology,Health & Social care,Microbiology & Virology,Infectious disease & Microbiology
          evisceration,anophthalmic surgery,orbital implant,complication

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