Manandhar A
Tilganga Institute of Ophthalmology, Kathmandu, Nepal.
Nepal J Ophthalmol. 2011 Jul-Dec;3(2):181-7. doi: 10.3126/nepjoph.v3i2.5274.
The purpose of this review is to find out the risk of sympathetic ophthalmia after evisceration and enucleation particularly in a case of penetrating ocular (non-surgical or surgical) injury and to know about the cosmetic outcome of evisceration and enucleation. Ophthalmologists around the world, whenever dealing with a case of penetrating ocular (non-surgical or surgical) injury, might thus be helped in deciding whether to keep the traumatized eye or remove it. And if they finally decide to remove it, they will be able to choose between evisceration and enucleation for the best cosmetic outcome, and to minimize the risk of sympathetic ophthalmia. The results of the review are the following. Enucleation is not found to be the best protective measure against development of sympathetic ophthalmia, as it was thought to be, since there are ample reports of sympathetic ophthalmia occurring not just after evisceration but also after enucleation. The cosmetic outcome of evisceration as opposed to enucleation is found to be better.
本综述的目的是查明眼球内容剜出术和眼球摘除术后发生交感性眼炎的风险，尤其是在穿透性眼外伤（非手术或手术）的情况下，并了解眼球内容剜出术和眼球摘除术的美容效果。世界各地的眼科医生在处理穿透性眼外伤（非手术或手术）病例时，可能会因此在决定保留受伤的眼睛还是摘除它方面得到帮助。如果他们最终决定摘除眼睛，他们将能够在眼球内容剜出术和眼球摘除术之间做出选择，以获得最佳的美容效果，并将交感性眼炎的风险降至最低。综述结果如下。眼球摘除术并非如人们所认为的那样是预防交感性眼炎发生的最佳保护措施，因为有大量报道表明交感性眼炎不仅发生在眼球内容剜出术后，也发生在眼球摘除术后。与眼球摘除术相比，眼球内容剜出术的美容效果更好。
