Ulaş Burak, Ozcan Altan Atakan, Mete Burak, Demirhindi Hakan, Ademoğlu Gök Merve, Binokay Hülya
Department of Ophthalmology, Faculty of Medicine, Çukurova University, 01330 Adana, Türkiye.
Department of Public Health, Faculty of Medicine, Çukurova University, 01330 Adana, Türkiye.
J Clin Med. 2025 May 21;14(10):3601. doi: 10.3390/jcm14103601.
: Evisceration is a rarely performed surgical procedure, and literature information regarding the characteristics of patients undergoing this surgery is limited. This study aims to evaluate the demographic features and etiological factors of patients who underwent evisceration surgery in a tertiary clinic over 10 years. : This descriptive study comprised the data of 134 patients who underwent evisceration surgery at the Department of Ophthalmology, Faculty of Medicine, Çukurova University, Adana, Türkiye, between 2011 and 2022. Demographic data of all patients, including age, sex, surgical indication, etiology, primary disease location, pathology results, and follow-up periods, were recorded and analyzed. : The mean age of the 134 patients included in the study was 56.18 ± 22.71 (min: 8-max: 91), with a male-to-female ratio of 65.2% to 34.8%. Evisceration etiologies included trauma (37%), endophthalmitis (37%), absolute blind eye (12.6%), and spontaneous perforation (11.9%). Endophthalmitis cases were more common in older ages and females, trauma patients in younger ages and males, and spontaneous perforation in older ages and males. Progression to panophthalmitis was observed in 6.6% of all cases, and all were found to originate from endophthalmitis. Culture growth was positive in 18.5% of the cases, with the most commonly grown microorganisms in culture being , and . and rates were significantly higher in cases progressing to panophthalmia. Acute inflammation was more prevalent in cases of endophthalmitis and spontaneous perforation, while chronic inflammation was in cases of trauma and absolute blind eyes. : Trauma was the main etiology of evisceration in young males and endophthalmitis in older females. Considering trauma prevention measures is important for public health in terms of eyeball saving.
眼球摘除术是一种很少实施的外科手术，关于接受该手术患者特征的文献资料有限。本研究旨在评估一家三级诊所10年间接受眼球摘除术患者的人口统计学特征和病因。：这项描述性研究纳入了2011年至2022年间在土耳其阿达纳市库库罗瓦大学医学院眼科接受眼球摘除术的134例患者的数据。记录并分析了所有患者的人口统计学数据，包括年龄、性别、手术指征、病因、原发疾病部位、病理结果和随访时间。：纳入研究的134例患者的平均年龄为56.18±22.71岁（最小8岁 - 最大91岁），男女比例为65.2%比34.8%。眼球摘除术的病因包括外伤（37%）、眼内炎（37%）、绝对盲眼（12.6%）和自发性穿孔（11.9%）。眼内炎病例在老年患者和女性中更为常见，外伤患者在年轻患者和男性中更为常见，自发性穿孔在老年患者和男性中更为常见。在所有病例中，6.6%进展为全眼球炎，且均发现起源于眼内炎。18.5%的病例培养结果呈阳性，培养中最常见的微生物为 、 和 。进展为全眼球炎的病例中 和 发生率显著更高。急性炎症在眼内炎和自发性穿孔病例中更为普遍，而慢性炎症在外伤和绝对盲眼病例中更为普遍。：外伤是年轻男性眼球摘除术的主要病因，眼内炎是老年女性眼球摘除术的主要病因。从挽救眼球的角度来看，考虑外伤预防措施对公共卫生很重要。
