背景:眼睛摘除手术,也称为眼科手术,通常是对由于各种潜在原因导致的疼痛失明的眼睛进行的。在这种情况下,审查,我们打算研究适应症,眼科手术的类型,以及与眼摘除手术相关的术后并发症。
方法:从2018年6月1日至2023年5月31日,在CanselorTuankuMuhriz医院(HCTM)进行了为期五年的手术眼摘除回顾性病例审查,马来西亚Kebangsaan大学(UKM)。病历文件被用来分析年龄,性别,受影响的眼睛,手术类型,和眼睛切除手术的适应症。
结果:14只眼接受了包括去内脏在内的眼科手术(78.57%,n=11),眼球摘除(14.29%,n=2),和放逐(7.14%,n=1)。在内脏小组中,63.64%(n=7)是由于眼内炎,27.27%(n=3)是由于眼外伤,9.09%(n=1)用于由于新生血管性青光眼而导致的痛苦失明。对视网膜母细胞瘤进行了两次摘除手术,对眼眶转移性恶性肿瘤进行了一次摘除手术。
结论:眼科手术的首选是去内脏,特别是当根本原因是由于良性疾病。眼科手术最常见的适应症是眼内炎,创伤,和恶性肿瘤。由于眼内恶性肿瘤和眼外扩散的恶性肿瘤,主要对盲眼进行了摘除和摘除。在过去的五年中,眼科手术的数量相对较少,这可能意味着痛苦的失明的保守治疗方法有所改善。
BACKGROUND: Eye removal surgeries, also called anophthalmic surgeries, are usually performed for a painful blinded eye due to various underlying causes. In this
case review, we intended to study the indications, the types of anophthalmic surgeries, and post-operative complications related to eye removal surgeries.
METHODS: Five years of retrospective
case review of surgical eye removals was conducted from 1st June 2018 to 31st May 2023 at Hospital Canselor Tuanku Muhriz (HCTM), University of Kebangsaan Malaysia (UKM). Medical record files were used to analyse the age, gender, affected eye, types of surgeries, and indications of the eye removal surgery.
RESULTS: Fourteen eyes underwent anophthalmic surgeries inclusive of evisceration (78.57%, n = 11), enucleation (14.29%, n = 2), and
exenteration (7.14%, n = 1). Among the evisceration group, 63.64% (n = 7) were due to endophthalmitis, 27.27% (n = 3) were due to ocular trauma, and 9.09% (n = 1) were done for a painful blind due to neovascular glaucoma. Two enucleation surgeries were performed for retinoblastoma and one
exenteration for orbital metastatic malignancy.
CONCLUSIONS: The preferred choice of anophthalmic surgery was in favour of evisceration, especially when the underlying causes were due to benign conditions. The most common indications of anophthalmic surgeries were endophthalmitis, trauma, and malignancies. Enucleation and
exenteration were performed mainly for the blinded eye due to the intraocular malignancies and malignancy with an extraocular spread. A fairly lesser number of anophthalmic surgeries over the five years could imply an improvement in the conservative management approach of a painful blinded eye.