Lim J K, Cinotti A A
Ann Ophthalmol. 1976 Jul;8(7):865-9.
This study is a review of 890 cases of eye enucleations performed over a period of 22 years. The major cause for enucleations was trauma, accounting for 39.7% of the eyes enucleated. Chronic inflammatory diseases accounted for 22.1%, glaucoma for 11.5% and tumours for 9.2% in this group. Retinal diseases were responsible for 5.5% of the eyes; vascular occlusion for 5%; and miscellaneous causes for the remaining 7%. Injuries were everyday tools and small flying missiles caused most of the trauma. Previously planned surgical operations accounted for 15% of the enucleations. Forty-eight of these eyes had epithelial or fibrous downgrowths resulting from inflammation, secondary glaucoma, and phthisis bulbi. A more careful selection of cases and better surgical techniques might significantly lower these statistics. Also, vascular occlusion should be given a high level of suspicion in all intractable cases of glaucoma of unexplained etiology. As a general rule, enucleations should not be performed because of the suspected presence of sympathetic ophthalmia.
本研究回顾了22年间进行的890例眼球摘除术病例。眼球摘除的主要原因是外伤，占摘除眼球的39.7%。在该组中，慢性炎症性疾病占22.1%，青光眼占11.5%，肿瘤占9.2%。视网膜疾病导致5.5%的眼球被摘除；血管阻塞占5%；其他原因占其余的7%。损伤是由日常工具和小型飞行物导致了大部分外伤。之前计划好的外科手术占眼球摘除术的15%。其中48只眼出现了由炎症、继发性青光眼和眼球痨引起的上皮或纤维内生。更谨慎地选择病例和采用更好的手术技术可能会显著降低这些数据。此外，对于所有病因不明的难治性青光眼病例，应高度怀疑血管阻塞。一般来说，不应因怀疑存在交感性眼炎而进行眼球摘除术。
