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Indications for destructive ocular surgeries in Nigeria
K F Monsudi1, A A Ayanniyi, A H Balarabe
1Department of Ophthalmology, Federal Medical Centre, Birnin Kebbi, Nigeria.
Summary
Destructive ocular surgery (DOS) is eye loss. Intraocular infection was the main cause, followed by trauma. Evisceration was the most common procedure performed for these cases.
Area of Science:
- Ophthalmology
- Surgical Pathology
Background:
- Destructive ocular surgery (DOS) results in eye loss.
- Auditing indications for DOS is crucial for incidence reduction.
Purpose of the Study:
- To determine the primary indications for destructive ocular surgeries.
- To analyze patient demographics and surgical outcomes.
Main Methods:
- Retrospective review of 37 patient case records from 2004-2011.
- Data collected included patient demographics, DOS indications, surgery type, traditional eye medication (TEM) use, and artificial eye (AE) acceptance.
Main Results:
- Intraocular infection (40.5%) was the leading indication for DOS, followed by trauma (35.1%) and tumors (10.8%).
- Evisceration was the most frequent procedure (81.1%).
- A significant association was found between patient age and DOS indication (P=0.032).
- 40.5% of patients used TEM, and 91.9% declined an AE post-surgery.
Conclusions:
- Intraocular infection is the predominant indication for destructive ocular surgery.
- Evisceration remains the most common surgical intervention for DOS.
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