[Enucleations, eviscerations and orbital implants in German eye hospitals].

Die Ophthalmologie Pub Date : 2024-10-01 Epub Date: 2024-08-09 DOI:10.1007/s00347-024-02088-4
Anna Schuh, Nicolas Pensel, Siegfried Priglinger, Christoph Hintschich
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Abstract

Background: Evaluation of the number of enucleations and eviscerations performed in Germany and the orbital implants used.

Method: Analysis of the quality reports of German ophthalmological clinics for the years 2012-2021 provided by the Federal Joint Committee (Gemeinsamer Bundesausschuss, G‑BA).

Results: Almost 10 times as many enucleations (8368) as eviscerations (975) are performed in Germany. After enucleation, alloplastic implants are used most frequently (44.6% alloplastic, no further specification, 30.0% alloplastic coated, no further specification; 14.1% microporous implants) and autologous dermis-fat grafts in 6.1% of the cases.

Conclusion: In Germany, significantly more enucleations than eviscerations are performed. Alloplastic orbital implants are preferred for primary reconstruction following enucleation.

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[德国眼科医院的去核、切除和眼眶植入手术]。
背景:对德国实施的眼球摘除术和眼球剥离术的数量以及使用的眼眶植入物进行评估:评估德国眼球摘除术和眼球切除术的数量以及所使用的眼眶植入物:方法:分析联邦联合委员会(Gemeinsamer Bundesausschuss, G-BA)提供的2012-2021年德国眼科诊所质量报告:德国实施的去核手术(8368例)几乎是切除手术(975例)的10倍。去核术后最常使用的是异体植入物(44.6%为异体植入物,无进一步说明;30.0%为异体涂层植入物,无进一步说明;14.1%为微孔植入物),6.1%的病例使用自体真皮脂肪移植:结论:在德国,眼球摘除术明显多于眼球切除术。结论:在德国,眼球摘除术明显多于眼球切除术。眼球摘除术后的初次重建首选异体眼眶植入物。
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