Aetiological pattern of surgical eye removal in a tertiary care centre in Eastern India

Abstract

Background: To determine the pattern of surgical eye removal in a tertiary eye-care facility in Eastern India. Materials and Methods: A retrospective case review was performed for all patients who had surgical removal of the eye between February 2011 and February 2017 at our tertiary care centre. Data collected were age, sex, diagnosis, eye affected and type of surgery, time of presentation. Results: In this study 159 eyes of 159 patients underwent eye removal surgery with total number of evisceration 101(63.52%), enucleation 57(35.85%) and exenteration 1(0.63%) noted from records. Mean age was 43.7126.45 with Male:Female ratio of 1.69:1. Diagnosis was categorized into severe intractable infection 70(44.03%), trauma 34(21.38%), tumours 28(17.61%), painful blind eye 16(10.06%) and staphyloma 11(6.92%). Conclusion: Evisceration was preferred surgery in our study. Males were more commonly involved than female. Severe intractable infection was most common indication followed by trauma and tumour with retinoblastoma as the major indication. Painful blind eye and staphyloma was remaining indication. Causes are largely preventable and avoidable and with provision of adequate eye-care facilities this trend can be reversed. Key messages: Removal of eye has profound psychological, social and economical impact on an individual. To reduce this, major etiological factor prevalent in that region has to be known. Aetiology prevalent in western country or different parts of our country may not fit in our scenario and every region has its own environmental, social, educational, financial conditions and cultural beliefs that significantly affects these outcomes. Keywords: Enucleation, evisceration and Exenteration.