Clinicopathological Review of 547 Bulbar Enucleations in Hungary (2006–2017)
Purpose. To analyse current clinicopathological enucleation indications in a large third-referral centre in a developed country (Hungary) over a period of 12 years. Methods. Retrospective review was performed on 547 enucleated eyes of 543 patients (48.6% males, age 52.7 ± 24.5 years) who were operat...
Saved in:
| Main Authors: | , , , , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wiley
2019-01-01
|
| Series: | Journal of Ophthalmology |
| Online Access: | http://dx.doi.org/10.1155/2019/2042459 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1832548875874861056 |
|---|---|
| author | Gábor Tóth Nóra Szentmáry Gábor László Sándor Béla Csákány Erika Maka Jeannette Tóth Zsuzsanna Antus Milán Tamás Pluzsik Achim Langenbucher Zoltán Zsolt Nagy Olga Lukáts |
| author_facet | Gábor Tóth Nóra Szentmáry Gábor László Sándor Béla Csákány Erika Maka Jeannette Tóth Zsuzsanna Antus Milán Tamás Pluzsik Achim Langenbucher Zoltán Zsolt Nagy Olga Lukáts |
| author_sort | Gábor Tóth |
| collection | DOAJ |
| description | Purpose. To analyse current clinicopathological enucleation indications in a large third-referral centre in a developed country (Hungary) over a period of 12 years. Methods. Retrospective review was performed on 547 enucleated eyes of 543 patients (48.6% males, age 52.7 ± 24.5 years) who were operated on between 2006 and 2017 at the Department of Ophthalmology of Semmelweis University, in Budapest, Hungary. For each subject, clinicopathological data, including patient demographics, indications for enucleation, B-scan ultrasound reports, operative details, and histopathological analyses, were reviewed. Primary enucleation indications were classified into trauma, tumours, systemic diseases, surgical diseases, infections or inflammations, miscellaneous diseases, and unclassifiable groups. Clinical immediate enucleation indications were classified as tumours, atrophia or phthisis bulbi, infection or inflammation, painful blind eye due to glaucoma, acute trauma, threatening or spontaneous perforation, cosmetic causes, and expulsive bleeding. Results. The most common primary enucleation indications were tumours (47.3%), trauma (16.8%), surgical diseases (15.7%), infection or inflammation (11.6%), systemic diseases (5.1%), miscellaneous diseases (2.0%), and unclassifiable diseases (1.5%). Clinical immediate enucleation indications were tumours (46.1%), atrophia or phthisis bulbi (18.5%), infection or inflammation (18.5%), painful blind eye due to glaucoma (11.2%), acute trauma (3.7%), threatening or spontaneous perforation (1.3%), cosmetic reasons (0.5%), and expulsive bleeding (0.4%). Conclusions. Intraocular tumours represent the most common clinicopathological indication for ocular enucleation in our study population. Following ocular trauma and systemic diseases, the rate of enucleation decreased in the last decade, compared to those previously reported in other developed countries. However, changes were not observed for surgical diseases, infectious and inflammatory causes, or for miscellaneous and unclassified diseases. Orbital implant financing should be increased to ensure better postoperative aesthetic rehabilitation, following enucleation in Hungary. |
| format | Article |
| id | doaj-art-34231e222a02412f9213f54a2fb8a7fe |
| institution | Kabale University |
| issn | 2090-004X 2090-0058 |
| language | English |
| publishDate | 2019-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Journal of Ophthalmology |
| spelling | doaj-art-34231e222a02412f9213f54a2fb8a7fe2025-02-03T06:12:47ZengWileyJournal of Ophthalmology2090-004X2090-00582019-01-01201910.1155/2019/20424592042459Clinicopathological Review of 547 Bulbar Enucleations in Hungary (2006–2017)Gábor Tóth0Nóra Szentmáry1Gábor László Sándor2Béla Csákány3Erika Maka4Jeannette Tóth5Zsuzsanna Antus6Milán Tamás Pluzsik7Achim Langenbucher8Zoltán Zsolt Nagy9Olga Lukáts10Department of Ophthalmology, Semmelweis University, Budapest, HungaryDepartment of Ophthalmology, Semmelweis University, Budapest, HungaryDepartment of Ophthalmology, Semmelweis University, Budapest, HungaryDepartment of Ophthalmology, Semmelweis University, Budapest, HungaryDepartment of Ophthalmology, Semmelweis University, Budapest, Hungary2nd Department of Pathology, Semmelweis University, Budapest, HungaryDepartment of Ophthalmology, Semmelweis University, Budapest, HungaryDepartment of Ophthalmology, Bajcsy-Zsilinszky Hospital, Budapest, HungaryExperimental Ophthalmology, Saarland University, Homburg, Saar, GermanyDepartment of Ophthalmology, Semmelweis University, Budapest, HungaryDepartment of Ophthalmology, Semmelweis University, Budapest, HungaryPurpose. To analyse current clinicopathological enucleation indications in a large third-referral centre in a developed country (Hungary) over a period of 12 years. Methods. Retrospective review was performed on 547 enucleated eyes of 543 patients (48.6% males, age 52.7 ± 24.5 years) who were operated on between 2006 and 2017 at the Department of Ophthalmology of Semmelweis University, in Budapest, Hungary. For each subject, clinicopathological data, including patient demographics, indications for enucleation, B-scan ultrasound reports, operative details, and histopathological analyses, were reviewed. Primary enucleation indications were classified into trauma, tumours, systemic diseases, surgical diseases, infections or inflammations, miscellaneous diseases, and unclassifiable groups. Clinical immediate enucleation indications were classified as tumours, atrophia or phthisis bulbi, infection or inflammation, painful blind eye due to glaucoma, acute trauma, threatening or spontaneous perforation, cosmetic causes, and expulsive bleeding. Results. The most common primary enucleation indications were tumours (47.3%), trauma (16.8%), surgical diseases (15.7%), infection or inflammation (11.6%), systemic diseases (5.1%), miscellaneous diseases (2.0%), and unclassifiable diseases (1.5%). Clinical immediate enucleation indications were tumours (46.1%), atrophia or phthisis bulbi (18.5%), infection or inflammation (18.5%), painful blind eye due to glaucoma (11.2%), acute trauma (3.7%), threatening or spontaneous perforation (1.3%), cosmetic reasons (0.5%), and expulsive bleeding (0.4%). Conclusions. Intraocular tumours represent the most common clinicopathological indication for ocular enucleation in our study population. Following ocular trauma and systemic diseases, the rate of enucleation decreased in the last decade, compared to those previously reported in other developed countries. However, changes were not observed for surgical diseases, infectious and inflammatory causes, or for miscellaneous and unclassified diseases. Orbital implant financing should be increased to ensure better postoperative aesthetic rehabilitation, following enucleation in Hungary.http://dx.doi.org/10.1155/2019/2042459 |
| spellingShingle | Gábor Tóth Nóra Szentmáry Gábor László Sándor Béla Csákány Erika Maka Jeannette Tóth Zsuzsanna Antus Milán Tamás Pluzsik Achim Langenbucher Zoltán Zsolt Nagy Olga Lukáts Clinicopathological Review of 547 Bulbar Enucleations in Hungary (2006–2017) Journal of Ophthalmology |
| title | Clinicopathological Review of 547 Bulbar Enucleations in Hungary (2006–2017) |
| title_full | Clinicopathological Review of 547 Bulbar Enucleations in Hungary (2006–2017) |
| title_fullStr | Clinicopathological Review of 547 Bulbar Enucleations in Hungary (2006–2017) |
| title_full_unstemmed | Clinicopathological Review of 547 Bulbar Enucleations in Hungary (2006–2017) |
| title_short | Clinicopathological Review of 547 Bulbar Enucleations in Hungary (2006–2017) |
| title_sort | clinicopathological review of 547 bulbar enucleations in hungary 2006 2017 |
| url | http://dx.doi.org/10.1155/2019/2042459 |
| work_keys_str_mv | AT gabortoth clinicopathologicalreviewof547bulbarenucleationsinhungary20062017 AT noraszentmary clinicopathologicalreviewof547bulbarenucleationsinhungary20062017 AT gaborlaszlosandor clinicopathologicalreviewof547bulbarenucleationsinhungary20062017 AT belacsakany clinicopathologicalreviewof547bulbarenucleationsinhungary20062017 AT erikamaka clinicopathologicalreviewof547bulbarenucleationsinhungary20062017 AT jeannettetoth clinicopathologicalreviewof547bulbarenucleationsinhungary20062017 AT zsuzsannaantus clinicopathologicalreviewof547bulbarenucleationsinhungary20062017 AT milantamaspluzsik clinicopathologicalreviewof547bulbarenucleationsinhungary20062017 AT achimlangenbucher clinicopathologicalreviewof547bulbarenucleationsinhungary20062017 AT zoltanzsoltnagy clinicopathologicalreviewof547bulbarenucleationsinhungary20062017 AT olgalukats clinicopathologicalreviewof547bulbarenucleationsinhungary20062017 |