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[Enucleation yesterday and today (author's transl)]
Klinische Monatsblatter Fur Augenheilkunde
|March 1, 1977
Summary
Surgically removing eyes (enucleation) occurred in 379 patients over 11 years, primarily due to severe pain from penetrating injuries or intraocular tumors. Elderly males were most affected, with histology confirming tumors in some cases initially suspected.
Area of Science:
- Ophthalmology
- Surgical Pathology
Context:
- A retrospective analysis of surgically enucleated eyes from 1963 to 1973.
- Examined patient demographics, reasons for enucleation, and histopathological findings.
Purpose:
- To analyze the indications and outcomes of eye enucleation over a decade.
- To identify the primary causes of eye loss and assess the accuracy of pre-operative diagnoses.
Summary:
- 379 eyes were enucleated, representing a constant surgical rate.
- Elderly males were predominantly affected, with uncontrollable pain as the main reason.
- Penetrating injuries (31.1%) and intraocular tumors (30.6%) were the leading causes for enucleation.
Impact:
- Histological examination was performed in 83.6% of cases.
- Misdiagnosis occurred in 7 of 116 eyes with suspected tumors.
- Malignant tumors were unexpectedly found in 5.1% of eyes enucleated for absolute glaucoma.