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NR 1-3/2005
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Kliniczne wskazania
do usunięcia gałki ocznej w materiale Kliniki Okulistyki
Akademii Medycznej w Białymstoku w latach 1982-2002
Clinical indications for
enucleation in the material of Department of Ophthalmology,
Medical Academy in Białystok in the years 1982-2002
Iwona Obuchowska1, Nebi
Sherkawey1, Sulyman Elmdhm1, Zofia Mariak1,
Andrzej Stankiewicz2
1Z Kliniki Okulistyki Akademii Medycznej w
Białymstoku
Kierownik: dr hab. n. med. Zofia Mariak
2Z Kliniki Okulistyki CSK Wojskowej Akademii
Medycznej w Warszawie
Kierownik: prof. dr hab. n. med. Andrzej Stankiewicz |
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| Summary: |
Purpose: To
evaluate the current clinical indications for
enucleation in the material of Department of
Ophthalmology, Medical Academy in Białystok.
Material and methods: We retrospectively reviewed
all enucleations performed between the years 1982 and
2002. Into analysis were included 367 patients (226
males and 141 females) at the age from 18 to 94 years.
They were divided into seven groups according to the
causes leading to enucleation: trauma, intraocular tumor,
glaucoma, phthisis bulbi, endophthalmitis, complications
of ocular surgery and corneal diseases.
Results: In our series trauma was the most
frequent cause of enucleation (36%), followed by
malignant tumor (20.7%), glaucoma (19.6%), phthisis
bulbi (9%) and endophthalmitis (8.1%). The majority of
intraocular tumors with histological confirmation were
melanomas (92.1%). There were significantly more
enucleation for trauma in males (p<0.0001). Patients
aged less than 30 years constituted 83.8% of all
enucleations for trauma. The total number of eye
removals decreased significantly (p<0.005) over
seven-year periods from 149 in 1982-1988, 121 in
1989-1995 to 97 in 1996-2002.
Conclusions: Improved new diagnostic and
therapeutic methods, widespread use of photocoagulation
in vascular disorders and methods of vitreoretinal
surgery in traumas, effective antimicrobial treatment
have contributed to the decreasing frequency of
enucleation. |
| Słowa kluczowe: |
usunięcie gałki ocznej,
uraz, nowotwór wewnątrzgałkowy, jaskra, choroby zapalne,
zanik gałki ocznej, ślepe bolesne oko. |
| Key words: |
enucleatio, trauma,
intraocular tumors, glaucoma, infection diseases,
phthisis bulbi, painful blind eye. |
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