Abstract
Evisceration is the end therapeutic approach for the treatment of severe ocular trauma cases, and it is a tremendous loss for patients. In this study, we explored the changing trends in the number of surgeries performed, demographic data and ocular features, and risks for early evisceration, aiming to provide more data for the additional prevention and management strategies for this catastrophic problem. This was a retrospective study that included patients who underwent ocular evisceration at the Zhongshan Ophthalmic Center between January 2013 and December 2017. A total of 1229 evisceration cases were reviewed, and only trauma-related eviscerations were analyzed. Etiology, demographic data, ocular features, and hospitalization time were evaluated. The total number of trauma-related eviscerations recorded in the past five years was 821 cases. The number of surgeries performed was almost constant each year (164 ± 17 cases); 35% of the patients were less than ten years old at the time of the original ocular injury and 69% of them were male. Endophthalmitis led to significantly early evisceration compared with cases without endophthalmitis (P < 0.05). The group with a history of silicone oil tamponade showed a significantly longer surgical interval between trauma and evisceration than did the nonsilicone oil tamponade group (P < 0.05). Day-case hospitalization for evisceration increased from 0% to 32% over the past five years. The results of the present study show that the number of ocular trauma-related eviscerations performed in the past five years was almost unchanged and boys under ten are highly susceptible. This study also demonstrates that endophthalmitis leads to significantly early evisceration, and silicone oil tamponade may postpone ocular atrophy. Based on the study data, day-case surgery is safe for evisceration management.
Highlights
Evisceration is one of the end-stage therapies employed for the management of severe ocular diseases [1,2,3]. is surgery involves the complete evacuation of the intraocular contents, while the scleral shell and extraocular appendages are preserved
Many studies, which aimed to improve the surgical outcome of evisceration, have been conducted on the exposure rate of orbital implants, longterm motility, and complication differences between porous and nonporous implants [8,9,10]
There is a scarcity of essential data on the changing trends in the number of surgeries performed, demographic and ocular features, risks for early evisceration, and utilization of day-case management for evisceration patients; analysis of these data is vital to enable possible reduction in the number of eviscerations performed and facilitate better management of evisceration patients
Summary
Evisceration is one of the end-stage therapies employed for the management of severe ocular diseases [1,2,3]. is surgery involves the complete evacuation of the intraocular contents, while the scleral shell and extraocular appendages are preserved. Us, we conducted a retrospective analysis of the records of patients who underwent trauma-related Journal of Ophthalmology evisceration from January 2013 to September 2017 in Zhongshan Ophthalmic Center, China. E number of eviscerations was recorded to show the trend of the changes in the number of surgeries performed in the past five years.
Sign-in/Register to view highlights & summary Sign-in/Register to access full text options 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callDisclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
