Analysis of the causes of eye removal surgeries at the present stage

I. A. Yakovlev, A. M. Revta, D. Seliverstova, A. M. Bezhanidze
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Abstract

Retrospective analysis of the case histories of 243 patients (111 men and 132 women) aged 6 months to 96 years who underwent eye removal operations (22 eviscerations and 221 enucleations) was conducted. In the structure of clinical indications for enucleation and evisceration of the eye dominated severe pyo-inflammatory processes (infectious ulcer with corneal perforation, endophthalmitis, panophthalmitis, chronic sluggish uveitis with the threat of sympathetic ophthalmia) – 46.5 %. The percentage of malignant neoplasm (melanoma and retinoblastoma) is 27.9 %. Painful absolute glaucoma was the cause of enucleation in 18.9 %, severe eye injury in 6.5 % of patients. Radical surgeries were more often performed in women of the older age group with inflammatory pathology and oncopathology, men were more often operated on for painful absolute glaucoma and eye injury. Keywords: еnucleation; еvisceration; аnophthalmia
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现阶段眼球摘除手术的原因分析
回顾性分析243例(男111例,女132例)6个月~ 96岁行眼球摘除手术(摘除22例,剜出221例)的病例史。在临床指征结构中,眼球摘除术和内脏切除主要是严重的脓性炎症过程(感染性溃疡伴角膜穿孔、眼内炎、全眼炎、慢性迟滞性葡萄膜炎伴交感眼炎威胁)- 46.5%。恶性肿瘤(黑色素瘤和视网膜母细胞瘤)的比例为27.9%。疼痛性绝对青光眼占18.9%,严重眼外伤占6.5%。根治性手术多见于有炎症病理和肿瘤病理的老年女性,男性多见于疼痛性青光眼和眼损伤。关键词:е成核;еvisceration;аnophthalmia
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