| Title |
Eye removal: a generalist skill or the preserve of the subspecialist? Evisceration and enucleation trends over time |
| Submitted by |
Paul Meredith |
| Abstract Number |
369 |
| Abstract ID |
19-231 |
| Review Result |
poster presentation |
| Purpose |
The Royal College of Ophthalmology curriculum states that all trainees should ‘Be able to perform enucleation and evisceration’ and requires them to submit practical assessments on a minimum of two cases. Trainees have reported difficulty in obtaining this sign-off partly due to a lack of exposure to suitable cases. This study was performed to determine the number and characteristics of eye removal procedures performed both nationally and locally. |
| Methods |
Retrospective data was collected both nationally and locally within the Wessex training deanery using hospital episode statistics and from electronic and paper medical records. |
| Results |
Linear regression analysis demonstrated a national reduction year on year in number of eye removal operations performed since 2001 (R2=0.81, p<0.0001). Local data demonstrated a similar statistically significant reduction in number of operations performed over time, and a reduction in the proportion of cases performed as an emergency (R2=0.25, p<0.05). Almost all operations were performed by a consultant with most also being performed by a member of the oculoplastic team. Demographic data and indication for eye removal will also be presented. |
| Conclusion |
Enucleation or evisceration has traditionally been seen as a skill required of the general ophthalmologist. However the number of eye removal operations performed each year has been reducing, a fall that has coincided with improved management of neovascular glaucoma including the introduction of Anti-VEGF. The majority of cases are now performed by non-trainee doctors with oculoplastic subspecialty training. |
Additional Authors
| Last name |
Initials |
City / Hospital |
Department |
| Meredith |
PR |
Salisbury District General Hospital |
Ophthalmology |
| Schultz |
C |
Southampton General Hospital |
Ophthalmology |
| Malem |
A |
Royal Bournemouth Hospital |
Ophthalmology |
| Abbas |
S |
Queen Alexandra Hospital |
Ophthalmology |
| Rogers |
S |
Queen Alexandra Hospital |
Ophthalmology |
