Causes of eye removal: Analysis of 586 eyes

Knežević, Miloš; Paović, Jelena; Paović, Predrag; Sredojevic, Vojislav

doi:10.2298/vsp1301026k

Cited by 5 publications

(5 citation statements)

References 13 publications

(5 reference statements)

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“…However, there remains significant controversy concerning its role in disease development. Clinical symptoms such as corneal edema, anterior chamber haemorrhage, and high intraocular pressure during treatment indicate that the tumour has developed into the glaucoma stage, dividing it into IIRC Group E, which has already been stated as one of the indications for enucleation (Knezevic et al, 2013; Tomar et al, 2022). Through our calculations, the risk factors listed in our study verify the corresponding conclusion: an extremely important feature when evaluating the prognosis of retinoblastoma patients.…”

Section: Discussionmentioning

confidence: 99%

Does vitreous haemorrhage and calcification lead to increased risk of enucleation in advanced retinoblastoma?

Yang

Jia

et al. 2023

Acta Ophthalmologica

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PurposeTo explore whether varying degrees of vitreous haemorrhage (VH) and calcification act as risk factors for enucleation in patients with advanced retinoblastoma (RB).MethodsAdvanced RB was defined by the international classification of RB (Philadelphia version). Basic information for retinoblastoma patients diagnosed as groups D and E in our hospital between January 2017 and June 2022 was reviewed by logistics regression models. Additionally, a correlation analysis was performed, excluding variables with a VIF (variance inflation factor) >10 from the multivariate analysis.ResultsA total of 223 eyes diagnosed with RB were included in assessing VH and calcification; of these, 101 (45.3%) eyes experienced VH, and 182 (76.2%) eyes were found to have calcification within the tumour through computed tomography (CT) or B‐scan ultrasonography. Ninety‐two eyes (41.3%) were enucleated, of which 67 (72.8%) had VH and 68 (73.9%) calcification, both of which were significantly relevant to enucleation (p < 0.001*). Other clinical risk factors, such as corneal edema, anterior chamber haemorrhage, high intraocular pressure during treatment and iris neovascularization, correlated significantly with enucleation (p < 0.001*). Multivariate analysis included IIRC (intraocular international retinoblastoma classification), VH, calcification and high intraocular pressure during treatment as independent risk factors for enucleation.ConclusionsDespite identifying different potential risk factors for RB, there remains significant controversy concerning which patients require enucleation, and the degree of VH varies. Such eyes need to be evaluated carefully, and management with appropriate adjuvant therapy may improve the outcome of these patients.

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Section: Discussionmentioning

confidence: 99%

Does vitreous haemorrhage and calcification lead to increased risk of enucleation in advanced retinoblastoma?

Yang

Jia

et al. 2023

Acta Ophthalmologica

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“…reported a higher mean age of 57.81 years in their study. [18] This difference may be due to sample size or population differences. Nevertheless, our study observations are consistent with the study of Tavakoli et al .…”

Section: Discussionmentioning

confidence: 99%

Common causes of eye enucleation among patients

et al. 2017

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Background:We investigated the contributing causes and factors leading to eye enucleation procedure among the patients referred to the ophthalmology clinic of the Center Eye Hospital in Tehran, Iran.Patients and Methods:We retrospectively analyzed the clinical records of patients referred to the ophthalmology clinic of the Center Eye Hospital in Tehran, Iran, in the past 3 years. The data retrieved were analyzed.Results:A total of 313 patients underwent eye enucleation during the past 3 years. The average age of the patients was 36.7 years (range: 20–44 years). Two hundred and eight patients (66.5%) were males and 105 (33.5%) were females. One hundred and sixty-nine patients had the right eye enucleation while 144 patients had the left eye enucleation. The various procedures included enucleation (83%), evisceration (13.4%), and exantration (3.6%). The factors leading to these procedures included trauma (33.2%), phthisis bulbi (20.7%), tumors (15.7%), and infections (10.5%).Conclusion:In our study population, trauma was the main factor leading to eye enucleation. Hence, measures to increase social awareness and knowledge to reduce trauma cases are necessary as a preventive approach to reduce eye enucleation procedures. Concurrently, ophthalmologists should also pay more attention in early diagnoses and screening of eye health, especially detecting tumor cases such as retinoblastoma and postsurgical care to reduce secondary infections will be effective actions to reduce the overall rate of enucleation.

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“…Na zwiększanie się liczby pierwotnych pourazowych enu kleacji wpływa również to, że w WIM funkcjonuje Centrum Urazowe dla pacjentów z Mazowsza zapewniające zarówno dia gnozowanie, jak i kompleksowe leczenie chorych, którzy doznali ciężkich wielonarządowych obrażeń ciała. Wskazania do enukle acji są podobne w większości ośrodków i obejmują poważne urazy gałki ocznej, złośliwe nowotwory wewnątrzgałkowe, sta ny zapalne gałki ocznej, zanik gałki ocznej oraz jaskrę dokonaną (głównie jej postać neowaskularną), częstość występowania poszczególnych patologii prowadzących do enukleacji jednak różni się w zależności od populacji (6,7,8). W publikacjach autorów z Nigerii i Malezji główną przyczyną usunięcia gałki ocznej były stany infekcyjne (endopthalmitis -za palenie wnętrza gałki ocznej, i panopthalmitis -zapalenie wszyst kich struktur gałki ocznej) (9, 10).…”

Section: Omówienieunclassified

Enucleation in the material of the Department of Ophthalmology of Military Institute of Medicine in Warsaw in 2014–2018

Różycki¹,

Chojnacka²,

Rękas³

2018

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Usunięcie gałki ocznej wciąż pozostaje jedną z metod te rapeutycznych stosowanych w przypadkach ciężkich urazów, złośliwych nowotworów wewnątrzgałkowych albo schyłkowej postaci chorób oczu, kiedy wyczerpano już inne sposoby leczni cze (1). Często dotyczy chorych, którzy wielokrotnie przebyli już leczenie operacyjne. Enukleacja polega na usunięciu całej gałki ocznej po odcięciu mięśni zewnątrzgałkowych i nerwu wzroko

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Causes of eye removal: Analysis of 586 eyes

Abstract: Neoplasm, neovascular glaucoma, acute eye injury and atrophy of the eye ball are the most common causes of enucleation.

Cited by 5 publications

References 13 publications

Does vitreous haemorrhage and calcification lead to increased risk of enucleation in advanced retinoblastoma?

Does vitreous haemorrhage and calcification lead to increased risk of enucleation in advanced retinoblastoma?

Common causes of eye enucleation among patients

Enucleation in the material of the Department of Ophthalmology of Military Institute of Medicine in Warsaw in 2014–2018

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