View 2019 Abstracts

With the changing face of ophthalmology, we noted a significant variation in the indications for performing evisceration and enucleation in our service. We therefore carried out a service evaluation to see the surgical outcomes and indications in patients undergoing evisceration and enucleation over a 10 year period.

A retrospective review of case notes and electronic patient records. We looked at patient demographics, surgical indications and outcomes including complication rates and further surgical input.

A total of 56 patients underwent surgery, out of which 50 (89%) underwent evisceration and 6 (11%) underwent enucleation. The common indications of surgery were trauma in 17 (30.4%) cases, painful blind eye in 10 (17.9%), endophthalmitis and phthisical eye in 5 (8.9%) cases each and corneal perforation in 2 (3.5%). 39 patients (73%) had acrylic implants. Orbital implants were not inserted in 15 patients (27%). 3 (7.3%) patients developed implant exposure after a mean duration of 36 months.

Recent literature review revealed a mean implant exposure rate of 2-5 % in acrylic implants which is comparable to 5% exposure rate in our patient cohort. All of the 3 implant exposures noted occurred in eviscerated patients. Post enucleation socket syndrome(PESS) was seen in 3(5.35%) cases and ptosis alone in 7 (12.5%) cases. This is in comparison to 7 % from literature for deepening of the superior sulcus; one component of PESS. Further correction surgery was needed in 5 (8.9%) cases.