The cause and complication of enucleation and evisceration of the eye in Thammasat University Hospital

Abstract

Objective  : To describe the causes and complications of enucleation and evisceration of the eye in Thammasat University Hospital 

Design : Retrospective , descriptive study 

Patients and methods  : The retrospective medical record review of patients who underwent enucleation or evisceration from January 2014 to December 2018 were reviewed.

Result  :  Forty six  patients underwent evisceration (n=35 , 76% )  and enucleation (n=11, 24%). The median age was 60 ±15.43 years  (range  23 to 92) and there were  25 men and 21 women. Corneal ulcers were the most common indication for surgery (n=29, 63%), followed by endophthalmitis  (n=9, 19.6 %), ruptured globe (n=4, 8.7%) and painful blind eye (n=4 ,8.7%).  Postoperative complications were wound dehiscence (n=8, 66.7%), conjunctival  cyst  (n=3, 25%) and symblepharon (n=1, 8.3%).

Conclusions  : Corneal ulcer was the most common cause  of  enucleation and evisceration  in Thammasat University Hospital .The most common complication was wound dehiscence , average about 1 month after surgery.

Limitations : retrospective study , in one hospital in one area ; therefore , results cannot be generalized.

Keyword  : enucleation   ,evisceration  ,corneal ulcer  ,endophthalmitis