十年的脏器去除术：探究人口统计学、临床及心理社会因素的影响
A Decade of Evisceration: Investigating the Influence of Demographic, Clinical, and Psychosocial Factors.
作者信息
Ceylanoglu Kubra Serbest, Altas Fatma Busra, Sen Emine, Eroglu Fatma Corak, Yenigun Sule
机构信息
Department of Ophtalmology, University of Health Sciences, Ulucanlar Eye Training and Research Hospital, Ankara, Türkiye.
出版信息
Beyoglu Eye J. 2024 Sep 1;9(3):115-119. doi: 10.14744/bej.2023.48640. eCollection 2024.
OBJECTIVES
The study aimed to evaluate the demographic and clinical characteristics of evisceration cases and to assess the psychosocial effects of prosthesis usage using the newly defined Global Ocular Prosthesis Score (GOPS).
METHODS
The records of 245 patients who underwent evisceration surgery between January 2010 and May 2021 were retrospectively reviewed. The study included 216 eyes of 216 patients who had regular follow-up of at least 6 months. Their demographic characteristics, indications for surgery, surgical methods, implant size, and complications were recorded. A total of 175 patients with ocular prostheses were evaluated using a 20-item questionnaire called GOPS.
RESULTS
About 154 of the 216 patients were male (71.3%), and 62 were female (28.7%), with a mean age of 34.9 years (range: 3-83). The mean follow-up duration was 52.5±34.2 months (range: 6-125). Among the cases, 101 (46.7%) had a penetrating globe injury, 91 (42.1%) had painful absolute eyes, 10 (4.6%) had corneal abscess, 8 (3.7%) had painless blind eyes due to Behçet's disease, 7 (3.2%) had endophthalmitis, 1 (0.04%) had prematurity retinopathy, 1 (0.04%) had corneal melting due to toxic epidermal necrolysis, and phthisis bulbi. Most of the traumas (74.5%) were caused by young (mean age 33.6 years) males. Sphere extrusion was observed in 16 (7.4%) patients at an average of 3 months (15 days to 6 months). Tenon cyst excision was performed in two patients. The mean GOPS was 71.74.
CONCLUSION
It has been observed that the most common reasons for evisceration in a tertiary eye hospital are globe injuries and painful eyes. Although losing an eye can have negative physical and psychological effects on patients and may prevent them from fulfilling their social roles, it has been observed that the use of ocular prostheses positively impacts patient satisfaction. The use of the GOPS questionnaire can be helpful in assessing the quality of life of evisceration patients.
目的
本研究旨在评估眼球摘除病例的人口统计学和临床特征，并使用新定义的全球眼假体评分（GOPS）评估假体使用的心理社会影响。
方法
回顾性分析2010年1月至2021年5月期间接受眼球摘除手术的245例患者的记录。该研究纳入了216例患者的216只眼睛，这些患者进行了至少6个月的定期随访。记录了他们的人口统计学特征、手术指征、手术方法、植入物大小和并发症。使用一份名为GOPS的包含20个条目的问卷对总共175例佩戴眼假体的患者进行了评估。
结果
216例患者中约154例为男性（71.3%），62例为女性（28.7%），平均年龄为34.9岁（范围：3 - 83岁）。平均随访时间为52.5±34.2个月（范围：6 - 125个月）。在这些病例中，101例（46.7%）有眼球穿通伤，91例（42.1%）有疼痛性绝对期眼，10例（4.6%）有角膜脓肿，8例（3.7%）有无痛性盲眼（因白塞病），7例（3.2%）有眼内炎，1例（0.04%）有早产儿视网膜病变，1例（0.04%）有中毒性表皮坏死松解症导致的角膜溶解以及眼球痨。大多数外伤（74.5%）由年轻男性（平均年龄33.6岁）造成。16例（7.4%）患者出现球部植入物脱出，平均时间为3个月（15天至6个月）。两名患者进行了眼球筋膜囊肿切除术。GOPS的平均得分为71.74。
结论
观察发现，在三级眼科医院，眼球摘除最常见的原因是眼球损伤和疼痛性眼睛。尽管失去一只眼睛会对患者产生负面的生理和心理影响，并可能使他们无法履行社会角色，但观察发现使用眼假体对患者满意度有积极影响。使用GOPS问卷有助于评估眼球摘除患者的生活质量。
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