Keenan Tiarnan D L, Sargent Nicholas J
University of Manchester and the Manchester Royal Eye Hospital, Manchester, United Kingdom.
Middle East Afr J Ophthalmol. 2011 Apr;18(2):170-2. doi: 10.4103/0974-9233.80708.
To examine the demographics and indications in patients undergoing eye removal at St. John Eye Hospital (SJEH) in Jerusalem, the largest single provider of ophthalmic care in the Palestinian Territories.
In this retrospective study, medical records were reviewed for patients undergoing enucleation or evisceration at SJEH from November 2004 to March 2007. Calculation of percentage, mean and median was performed for the demographics, and indications for enucleation and evisceration.
Thirty-three eyes of 32 patients were removed during the period under study. Twelve enucleations and 21 eviscerations were performed. Mean age was 39 years, and 19 patients were male. Indications included severe trauma (8 eyes), painful blind eye with (5 eyes) or without (9 eyes) infection, and ophthalmic neoplasm (3 eyes).
The incidence of surgical eye removal at SJEH from 2004 to 2007 was around one patient per month for a population over three million. This rate appears far lower than those reported in previous studies of similar Palestinian populations. Prompt access to medical care for Palestinians is required to mitigate ophthalmic morbidity. Approximately half of the cases were caused by severe trauma or infection, with rubber bullet injuries responsible for 20% of the traumatic cases.
研究耶路撒冷圣约翰眼科医院（SJEH）接受眼球摘除手术患者的人口统计学特征及手术指征。圣约翰眼科医院是巴勒斯坦地区最大的眼科护理单一提供者。
在这项回顾性研究中，我们查阅了2004年11月至2007年3月期间在圣约翰眼科医院接受眼球摘除术或眼内容剜出术患者的病历。对人口统计学特征以及眼球摘除术和眼内容剜出术的指征进行了百分比、均值和中位数的计算。
在研究期间，32例患者的33只眼睛被摘除。其中进行了12例眼球摘除术和21例眼内容剜出术。平均年龄为39岁，男性患者19例。手术指征包括严重创伤（8只眼）、伴有（5只眼）或不伴有（9只眼）感染的疼痛性盲眼以及眼部肿瘤（3只眼）。
2004年至2007年期间，圣约翰眼科医院的手术摘除眼球发生率约为每月1例，针对的是超过300万的人口。这一比率似乎远低于此前针对类似巴勒斯坦人群的研究报告。需要为巴勒斯坦人提供及时的医疗服务，以减轻眼科疾病的发病率。约一半的病例由严重创伤或感染引起，橡皮子弹伤占创伤病例的20%。
