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Evisceration and enucleation cases in the ophthalmologic emergency department of a tertiary Brazilian hospital.
- Source :
-
Arquivos brasileiros de oftalmologia [Arq Bras Oftalmol] 2022 Feb 14; Vol. 85 (6), pp. 558-564. Date of Electronic Publication: 2022 Feb 14 (Print Publication: 2022). - Publication Year :
- 2022
-
Abstract
- Purpose: To analyze the epidemiological profiles of evisceration and enucleation cases in the ophthalmologic emergency department of a Brazilian tertiary hospital.<br />Methods: Patients treated in the ophthalmologic emergency department of Hospital São Paulo (Universidade Federal de São Paulo) during the period 2013 to 2018 were retrospectively evaluated. Urgent cases of evisceration or enucleation surgery were included, and elective cases were excluded. The following information was extracted from the patients' medical records: demographic data, immediate and associated reasons for the surgical procedure, informed visual acuity, symptom duration until ophthalmologic care, complications, distance from the residence to the tertiary hospital, and time of hospitalization.<br />Results: In total, 61 enucleations and 121 eviscerations were included in this study. The patients had a mean age of 63.27 ± 18.68 years. Of the patients, 99 were male (54.40%), and 83 were female (45.60%). The indications for evisceration or enucleation were corneal perforation with (44.50%) and without (23.63%) signs of infection, endophthalmitis (15.38%), ocular trauma (14.29%), neoplasia (0.55%), burn accident (1.10%), and phthisis bulbi (0.55%). The self-reported visual acuity was no light perception (87.36%) or light perception (1.10%). However, 3.30% of the patients did not cooperate with the examination, and no information on visual acuity was available for the remaining 8.24%. The mean symptom duration before ophthalmologic care was sought was 18.32 days. Two patients had sympathetic ophthalmia after evisceration.<br />Conclusions: More eviscerations than enucleations were performed throughout the study period. The most common demographic characteristics were age >60 years and male sex. The main indications for urgent evisceration and enucleation procedures were corneal perforation with and without infection, endophthalmitis, and ocular trauma. The findings from this study could guide clinicians in performing preventive measures to avoid destructive eye procedures.
- Subjects :
- Humans
Male
Female
Adult
Middle Aged
Aged
Aged, 80 and over
Eye Evisceration
Tertiary Care Centers
Retrospective Studies
Brazil epidemiology
Eye Enucleation
Emergency Service, Hospital
Corneal Perforation surgery
Eye Injuries epidemiology
Eye Injuries surgery
Eye Injuries etiology
Endophthalmitis epidemiology
Endophthalmitis surgery
Endophthalmitis etiology
Subjects
Details
- Language :
- English
- ISSN :
- 1678-2925
- Volume :
- 85
- Issue :
- 6
- Database :
- MEDLINE
- Journal :
- Arquivos brasileiros de oftalmologia
- Publication Type :
- Academic Journal
- Accession number :
- 35170630
- Full Text :
- https://doi.org/10.5935/0004-2749.20220073