Indications for Surgical Removal of the Eye in Rural Areas in Cameroon

Kagmeni, Giles; Noche, Christelle Domngang; Nguefack‐Tsague, Georges; Wiedemann, Peter

doi:10.4137/oed.s14019

Cited by 10 publications

(10 citation statements)

References 11 publications

(19 reference statements)

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“…Our study showed that infection/inflammation accounted for 17% of cases, which was lower compared with the incidence in developing countries, such as Cameroon 23 (51%) and Saudi Arabia 27 (46%). Women were more often affected by infection/inflammation, such as keratitis and endophthalmitis, and this is consistent with other studies.…”

Section: Discussioncontrasting

confidence: 52%

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A decade of surgical eye removals in Ontario: a clinical-pathological study

Chan

Khattak

Yucel

et al. 2017

Canadian Journal of Ophthalmology

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A blind painful eye and neoplasms were the most commonly documented indications prior to removal of the eye. Common pathologies included glaucoma, neoplasms, infection/inflammation, and trauma. However, regardless of the primary cause, glaucoma-related pathologies were the most common pathologic findings. Refractory eye disease and pain continue to be important reasons for removal of eyes among patients in Ontario. More effective and targeted management strategies are needed to reduce the need for this radical eye surgery of last resort.

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Section: Discussioncontrasting

confidence: 52%

“…Reports on enucleation patterns have come from the United States, 3,[7][8][9] Europe, [10][11][12][13][14] Asia, [15][16][17][18][19] Africa, [20][21][22][23][24] and the Middle East. [25][26][27] The clinical indications for and causes Crown Copyright & 2017 Published by Elsevier Inc on behalf of the Canadian Ophthalmological Society.…”

mentioning

confidence: 99%

A decade of surgical eye removals in Ontario: a clinical-pathological study

Chan

Khattak

Yucel

et al. 2017

Canadian Journal of Ophthalmology

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“…Indeed, contrary to the goal of cataract surgery, which aims to improve vision; the main goal of mutilating surgery is to improve the patient's quality of life [7]. The etiologies of this surgery in our study were dominated by infectious pathologies (58.61%) and tumoral affections (29.30%) Our findings were superimposable with those of Kagmeni [8], Pandey [2], Nwosu [1]. These results differed from those of Diomandé [9] and Meda [10], who observed a predominance of traumatic pathologies in their series.…”

Section: Discussioncontrasting

confidence: 42%

Epidemiological Particularities and Indications of the Mutilating Surgery of the Eyeball in Abidjan (Ivory Coast)

Serge¹,

Ellalie²,

François³

et al. 2018

OJOph

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Objective: To describe the epidemiological profile and indications of mutilating eyeball surgery in Abidjan. Patients and methods: This is a retrospective descriptive study on the files of eviscerated, enucleated or exentered patients in the Ophthalmology Department of the University Hospital of Yopougon from January 2010 to December 2016. The parameters studied were: socio-demographic characteristics, indications of mutilating surgery, anesthetic technique, operative technique and patient evolution. Results: During the study period, 59 patients underwent surgery for mutilating eye surgery out of a total of 11,114 procedures, a frequency of 0.53%. The average age of the patients was 31 years with extremes of 3 years and 67 years. Men predominated in 62.1% of cases with a sex ratio of 1.64. Patients came from rural areas in 68.5% of cases. The main indications of the mutilating surgery were: post-inflammatory phthisis (58.6%) and tumoral affections (29.31%). Evisceration was the most common operative technique (67.2%). In 68% of cases the interventions were performed under peribulbar anesthesia. Patients with evisceration (67.2%) and enucleation (5.1%) all benefited from prosthetic equipment. Conclusion: The mutilating surgery of the eyeball is responsible for serious psychological and sociological impacts. The seriousness of these repercussions requires primary prevention through early and adequate management of eye conditions.

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“…In the literature, the reported mean age was 29-53 years, and it was observed that in developing countries, eye removal surgeries occur at younger ages, whereas in developed countries they occur in older ages. 2 , 3 , 5 , 6 , 9 In our study, the most frequent indication in evisceration surgeries was trauma, whereas it was malignancy in enucleation surgeries, which explains the younger age of evisceration patients, and the older age of enucleation patients.…”

Section: Discussionmentioning

confidence: 59%

“… 19 Infectious reasons make the most common eye removal indications in countries or regions of low socioeconomic conditions. 8 , 9 The developments in the diagnosis and treatment of endophthalmitis in recent years, the existence of effective antimicrobials and their intravitreal applications enable medical therapy for endophthalmitis. 5 In our study, no eye removal surgery was performed after 2005 for the indication of endophthalmitis.…”

Section: Discussionmentioning

confidence: 99%

Indications for eye removal surgeries

Koylu

Gökçe

Uysal

et al. 2015

SMJ

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Objectives:To analyze the indications and types of eye removals at a military tertiary care hospital in Turkey.Methods:The medical records (age, gender, affected eye, type of surgical procedure, indications of surgery) of 123 patients who underwent evisceration and enucleation in the course of a 15-year period (January 2000 to December 2014) at Gulhane Military Medical Academy, Ankara, Turkey were reviewed retrospectively.Results:The mean age was 35.61±18.52 (range 3-80 years). The number of male in the patient group was 92 (74.8%) and female was 31 (25.2%). Patients who underwent evisceration were 95 (77.2%), whereas 28 (22.8%) of them underwent enucleation. The mean age of the eviscerated patients was 30.63±13.08, whereas the mean age of the enucleated patients was 52.50±23.92 (p<0.001). The leading indications for eye amputations were trauma (n=62, 50.4%), malignancy (n=20, 16.3%), painful blind eye and absolute glaucoma (n=20, 16.3%), endophthalmitis (n=12, 9.7%), and phthisis bulbi, and cosmetic reasons (n=9, 7.3%).Conclusion:Trauma was the most common etiology for evisceration, and malignancy was the most common etiology for enucleation. Using protective eyewear and early detection of intraocular malignancy and glaucoma through routine ophthalmic examinations are essential for providing non-invasive treatment modalities instead of eye removal.

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Indications for Surgical Removal of the Eye in Rural Areas in Cameroon

Cited by 10 publications

References 11 publications

A decade of surgical eye removals in Ontario: a clinical-pathological study

A decade of surgical eye removals in Ontario: a clinical-pathological study

Epidemiological Particularities and Indications of the Mutilating Surgery of the Eyeball in Abidjan (Ivory Coast)

Indications for eye removal surgeries

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