Postoperative Outcomes of Enucleation Without Closure of the Conjunctiva.

IF 1.2 4区 医学 Q3 OPHTHALMOLOGY
Tom Kornhauser, Muhammad Z Chauhan, John D Pemberton
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引用次数: 0

Abstract

Purpose: To evaluate the long-term outcomes of enucleation without conjunctival closure in a large patient cohort.

Methods: A retrospective chart review was conducted from January 2011 to January 2024, examining 144 eyes of 143 patients who underwent enucleation without conjunctival closure by a single oculoplastic surgeon. Data collected included patient demographics, indications for surgery, implant types, and complications.

Results: This study included 144 eyes from 143 patients undergoing enucleation without conjunctival closure. Patients had a mean age of 46.47 years (SD: 19.76; range: 4-92 years), with a mean follow-up of 14.66 months (range: 2-142 months). Indications for enucleation included blind painful eyes for a variety of reasons (e.g., endophthalmitis, end-stage glaucoma, irreparable corneal graft failure, irreparable corneal melt, and intraocular tumors, etc.) which was the most common reason in our practice (72.92%). Porous polyethylene spheres (86.11%) and polymethyl methacrylate spheres (13.89%) were the primary implants used, with no observed implant complications. Three cases (2.08%) developed conjunctival cysts post-trauma.

Conclusions: Enucleation without conjunctival closure in an otherwise normal eye with no evidence of severe conjunctival shrinkage appears to be a safe and effective procedure with a low complication rate comparable to traditional techniques involving suture-based conjunctival approximation. Meticulous closure of Tenon's capsule may be sufficient to prevent implant-related complications. This approach could potentially reduce surgical time and simplify the enucleation procedure without compromising patient outcomes.

无结膜闭合的眼球摘除术的术后结果。
目的:评价无结膜闭合的眼球摘除术的长期疗效。方法:回顾性分析2011年1月至2024年1月,同一眼科整形医师行无结膜闭合摘除的143例患者144只眼的资料。收集的数据包括患者人口统计、手术指征、植入物类型和并发症。结果:本研究纳入143例无结膜闭合摘除的患者144只眼。患者平均年龄46.47岁(SD: 19.76;范围:4-92年),平均随访14.66个月(范围:2-142个月)。由于各种原因(如眼内炎、终末期青光眼、不可修复的角膜移植失败、不可修复的角膜融化、眼内肿瘤等)导致的盲眼疼痛是我们手术中最常见的原因(72.92%)。首选种植体为多孔聚乙烯球(86.11%)和聚甲基丙烯酸甲酯球(13.89%),未见种植体并发症。外伤后结膜囊肿3例(2.08%)。结论:在没有严重结膜收缩证据的正常眼睛中,无结膜闭合的摘除是一种安全有效的手术,与传统的基于缝合的结膜近似术相比,并发症发生率低。细致地关闭Tenon的囊可能足以防止与种植体相关的并发症。这种方法可以潜在地减少手术时间,简化摘除术过程,而不影响患者的预后。
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来源期刊
CiteScore
2.50
自引率
10.00%
发文量
322
审稿时长
3-8 weeks
期刊介绍: Ophthalmic Plastic and Reconstructive Surgery features original articles and reviews on topics such as ptosis, eyelid reconstruction, orbital diagnosis and surgery, lacrimal problems, and eyelid malposition. Update reports on diagnostic techniques, surgical equipment and instrumentation, and medical therapies are included, as well as detailed analyses of recent research findings and their clinical applications.
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