|
|
Etiology and Related Factors of 676 Cases of Destructive Ophthalmic surgeries |
Xiuying Zhu,Wen Sheng |
Eye Hospital, Wenzhou Medical University, Wenzhou 325027, China |
|
|
Abstract Objective: To analyze the etiology and related factors of destructive ophthalmic surgeries, including enucleation of the eyeball, evisceration and orbital exenteration. Methods: The medical records of 676 patients (676 eyes) who underwent ophthalmic destructive procedures were reviewed retrospectively from July 2011 to September 2017 at the Eye Hospital, Wenzhou Medical University. There were 437 males and 239 females; aged from 7 months to 90 years old, and the causes of the operation and its distribution were analyzed. Results: In 676 cases, 230 cases were enucleation, accounting for 34.0%; 426 cases were evisceration, accounting for 63.0%; 20 cases were orbital exenteration, accounting for 3.0%. There were 31 children younger than 12 years old, among them, 18 cases of enucleation and 2 cases of orbital exenteration due to retinoblastoma. There were 430 cases of adults aged from 19 to 60 years old. Ocular trauma related diseases were the first cause, about 219 cases. There were 191 elderly patients over the age of 60. Keratitis and cornea related diseases (57 cases) and glaucoma (51 cases) were the main causes. And in older patients, removal of orbital contents was a common cause of eyelid malignancy. Conclusions: In different age groups, the main causes of unilateral blindness are different. Therefore, the emphases of the promotion of preventive health care knowledges and treatment priorities should be different among different age groups.
|
Received: 20 May 2018
|
Corresponding Authors:
Wen Sheng, Eye Hospital, Wenzhou Medical University, Wenzhou 325027, China
(Email: sw2168@126.com)
|
|
|
|
[9] |
Osborne D, Hadden OB, Deeming LW. Orbital growth after childhood enucleation. Am J Ophthalmol, 1974, 77(5): 756-759.
|
[1] |
Spaeth GL. Ophthalmic surgery: Principles and practice. 3rd ed.Philadelphia: WB Saunder, 2003: 485-507.
|
[10] |
Anderson RL, Thiese SM, Nerad JA, et al. The universal orbital implant: indications and methods. Adv Ophthalmic Plast Reconstr Surg, 1990, 8: 88-99.
|
[11] |
李冬梅, 李志辉. 骨整合种植体在眶部整形的应用. 国外医学(眼科学分册), 2000, 24(4): 248-251.
|
[2] |
李辽青, 孙宪丽, 李彬, 等. 1 609例眼球摘除原因分析. 眼科,1995, 4(1): 29-31.
|
[3] |
黄智, 梁先军. 139例眼球摘除术及眼内容物剜除术临床分析.临床眼科杂志, 2004, 12(3): 206-206. DOI: 10.3969/j.issn.1006-8422.2004.03.034.
|
[4] |
苏帆, 王毅, 杨新吉, 等. 189 例眼眶内容物剜除临床分析.中国实用眼科杂志, 2014, 32(2): 170-174. DOI: 10.3760/cma.j.issn.1006-4443.2014.02.020.
|
[5] |
颜华. 我国眼外伤救治现状与面临的挑战. 中华眼科杂志,2015, 51(8): 561-564. DOI: 10.3760/cma.j.issn.0412-4081.2015.08.001.
|
[6] |
颜华. 重视开放性眼外伤一期手术处理. 中华眼视光学与视觉科学杂志, 2015, 17(2): 65-67. DOI: 10.3760/cma.j.issn.1674-845X.2015.02.001.
|
[7] |
中华医学会眼科学分会眼外伤学组. 我国眼外伤近五年十大研究进展. 中华眼科杂志, 2015, 51(8): 604-607. DOI: 10.3760/cma.j.issn.0412-4081.2015.08.011.
|
[8] |
李冬梅. 重视中国人小眼球或无眼球眼眶发育的规范化治疗.中华眼科杂志, 2013, 49(8): 676-678. DOI: 10.3760/cma.j.issn.0412-4081.2013.08.002.
|
[9] |
Osborne D, Hadden OB, Deeming LW. Orbital growth after childhood enucleation. Am J Ophthalmol, 1974, 77(5): 756-759.
|
[10] |
Anderson RL, Thiese SM, Nerad JA, et al. The universal orbital implant: indications and methods. Adv Ophthalmic Plast Reconstr Surg, 1990, 8: 88-99.
|
[11] |
李冬梅, 李志辉. 骨整合种植体在眶部整形的应用. 国外医学(眼科学分册), 2000, 24(4): 248-251.
|
|
|
|