Causes of enucleation : a clinicopathological study.
Enucleation is an approach used for unresponsive end-stage ocular disease often resulting in blind, painful or cosmetically unacceptable eyes.
We reviewed the clinicopathological data on 3506 enucleations performed over a 50-year period, 1945-1995.
Histopathological data were divided into eight groups according to the causes leading to enucleation : trauma, phthisis, corneal disease, inflammation, vitreoretinal disease, glaucoma, tumors and infections.
The study considered 3506 enucleated eyes of 3482 patients, 2467 (70.8%) males and 1011 (29.1%) females (4 sex unspecified).
The z-test showed there were significantly more enucleations in males for phthisis (p<5.05), infections (p<0.01), trauma (p<0.01) and inflammation (p<0.01) and more enucleations for tumors in females (p<0.01).
There were no differences between males and females with regard to enucleations for glaucoma, vitreoretinal and corneal diseases (p>0.05).
The 0-9 years age group was most frequently affected, accounting for 29.7% of the cases.
Patients aged less than 30 years constituted 53.6% of all enucleations.
The primary or underlying causes leading to enucleation were tumors (1185 eyes, 33.8%), phthisis (587 eyes, 16.7), glaucoma (561 eyes, 16.0%), vitreoretinal diseases (320 eyes, 9.1%), infections (259 eyes, 7.4%), corneal disease (229 eyes, 6.5%), trauma (209 eyes, 6.0%) and inflammation (156 eyes, 4.4%). (...)
Mots-clés Pascal : Enucléation, Oeil, Etiologie, Histopathologie, Turquie, Asie, Homme, Chirurgie
Mots-clés Pascal anglais : Enucleation, Eye, Etiology, Histopathology, Turkey, Asia, Human, Surgery
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 99-0083113
Code Inist : 002B25B. Création : 31/05/1999.