[An eleven-year experience of eye enucleation caused by severe ocular injuries].

UNLABELLED: The objective of this study was to evaluate indications for primary and delayed enucleation caused by severe eye injuries.

MATERIAL AND METHODS: One hundred nine enucleations performed in the Clinic of Eye Diseases of Kaunas University of Medicine Hospital during 1993-2003 years because of severe ocular injuries were analyzed retrospectively. Fifty seven of the eyes were enucleated primarily and 52 enucleations were delayed for later period.

RESULTS: The most common indications for primary enucleation were: loss of internal eyeball tissues in 40 (74.1%) cases; wide tissue defect--5 (9.3%) cases; long wound--4 (7.4%) cases; endophthalmitis and panophthalmitis--5 (9.3%) cases. The most frequent indications for delayed enucleation were: endophthalmitis and panophthalmitis in 28 (59.6%) cases; atrophia and phthisis bulbi--13 (7.7%) cases; secondary glaucoma--6 (12.8%) cases.

CONCLUSIONS: Amount of enucleations performed in the Clinic of Eye Diseases of Kaunas University of Medicine Hospital because of severe ocular injuries was without a significant change during ten-year period. Enucleations were performed more frequently in male patients of employable age. The most common causes for enucleation were open globe injury and penetrating wound. Loss of internal eyeball tissues, wide tissue defect, long wound, endophthalmitis and panophthalmitis were the most common indications for primary enucleation. The most frequent indications for delayed enucleation were: endophthalmitis and panophthalmitis, atrophia and phthisis bulbi, secondary glaucoma.