Clinical Indications for Evisceration and Orbital Implant Trends

Abstract

Purpose: To assess the demographic characteristics and indications for evisceration.

Material and Methods: This study was conducted in the Department of Ophthalmology, Khyber Institute of Ophthalmic Medical Sciences, Hayatabad Medical Complex, Peshawar from January 2004 to October 2006. The demographic characteristics and indications for evisceration were analyzed.

Results: A total of 77 eyes of 76 patients underwent evisceration. Male patients were 78.9% and female 21%. Right eye was involved in 50% of cases and left in 48.6%. One patient (1.3%) had bilateral evisceration. 25% patients were below 16 year of age, while 30.2% patients were between 17 and 40 years and 44.7% were above 41 years of age. The most common indication for evisceration was traumatic endophthalmitis in 54.5%, followed by painful blind eye in 18%, postoperative endophthalmitis following cataract surgery in 14.2%, perforated corneal ulcer in 7.7% and endogenous endophthalmitis in 5%. Spherical prosthesis implantation was carried out in 58.4%. Extrusion of implant occurred in 26.6%.

Conclusions: Trauma is the most common cause for evisceration followed by painful blind eye and postoperative endophthalmitis following cataract surgery. The victims are usually young males following ocular trauma and elderly following intra ocular lens implantation for age related cataract. Spherical implant extrusion remains the most common complication.