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Ophthalmology 2016
November 21-23, 2016
November 21-23, 2016 Dubai, UAE
10th International Conference on
Clinical & Experimental Ophthalmology
Volume 7 Issue 9 (Suppl) J Clin Exp Ophthalmol
ISSN: 2155-9570 JCEO, an open access journal
Nada Al Madhi, J Clin Exp Ophthalmol 2016, 7:9(Suppl)
Indications of enucleation and evisceration in a tertiary eye hospital in Riyadh, a 10-year experience
Nada Al Madhi
King Saud University, KSA
Purpose: To provide an estimate of the causes leading to enucleation/evisceration and to correlate the clinical findings with the
histopathological findings.
Methods: The charts of operated patients with enucleation or evisceration at KAUH from February 2005 to May 2015 were reviewed
retrospectively. Patients were stratified into two categories based on indications of surgery: traumatic and non-traumatic. Causes of
ocular injury in the traumatic group were recorded and the post-operative histopathological findings were documented for the non-
traumatic group.
Results: 110 patients underwent evisceration 63% (n=69) or enucleation 37% (n=41), with the mean age of 47±26 years, due to
traumatic (n=38) and non-traumatic (n=72). Post-operative endophthalmitis was the most common indication of surgery (21.8%),
followed by painful blind eye (29%). Ocular trauma occurred more commonly in men 76% (n=29) than in women 24% (n=9), and
the leading trauma cause was nail injuries (15.8%). In the non-traumatic group (n=72), endophthalmitis was the most common
histopathological diagnosis (34.7%).
Conclusion: The majority of the eye amputation surgeries were done due to non-traumatic causes especially post-operative infections.
However, severe eye trauma is still a main indication for such destructive procedure. Guidelines are needed to decrease the incidence/
severity of work-related eye injuries and to detect and manage eye infections more early and promptly.