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Category: Volume 09 Issue 02 February 2021
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Title: Evisceration Surgery: A 10 Year Retrospective Review of Our Experience in Northwest Nigeria

Authors: Saka ES, Monsudi KF, Balarabe AH, Suleiman AK, Olatunji AV

 DOI: https://dx.doi.org/10.18535/jmscr/v9i2.44

Abstract

Aim: To know the trend in frequency, indications and clinical characteristics in patients that underwent evisceration surgery in our center with the aim of recommending appropriate preventive measures.

Methods: This is a 10-year retrospective review of case files of patients who underwent evisceration at ophthalmology department Federal Medical Centre Birnin Kebbi. The clinical records were reviewed (from January 2010 and November 2020) for demographic data and clinical indications.

Result: A total of 191evisceration were performed within the study period. The mean age was 33.58 years, SD 23.597, age range 2-85 years and mode was 25 years. Of these 191 eyes, 68 (35.6%) were children (<16 years) and 42 (22%) were elderly (>60 years). There were 129 males and 62 females, M:F ratio of 2.1:1. Clinical feature included poor presenting visual acuity in all the patients, right eye involvement in 93 patients. Clinical indications for evisceration surgery were anterior staphyloma in 79 cases (41.4 %), traumatic ruptured globe in 48(25.1), complicated keratitis in 34 (17.8%), endophthalmitis in 24 (12.6%) and 2(1%) each for painful blind eye, panophthalmitis and phthisis bulbi. The commonest indication for eye removal in both children and adults was anterior staphyloma followed by trauma.

Conclusion: Anterior staphyloma was the leading indication for evisceration followed by trauma, both of which are preventive causes of blindness. A proactive measure put in place in the form education to our community both directly at the community level and through the media will definitely have a good outcome and reduce the need for evisceration surgery.

Keywords: Eye ball, Anterior staphyloma, Trauma, Evisceration, Preventive measures.

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Corresponding Author

Dr Saka Eletu Sadiat

Department of Ophthalmology, Federal Medical Centre, Birnin Kebbi, PMB 1126, Birnin Kebbi, Kebbi State, Nigeria