眼球摘出之原因－第二報

Causes of Enucleation or Evisceration

許紋銘(Wen-Ming Hsu) ； 張偉哲(Wei-Jei Chang) ； 王安國(An-Kuo Wang)

《中華民國眼科醫學會雜誌》 34卷1期 (1995/03) Pp. 60-66

https://doi.org/10.30048/ACTASOS.199503.0010

摘要

本文就台北榮總眼科近十三年（1981年～1993年）439個眼球摘除例予以統計分析。其原因以眼球癆最多(31.4%)，其餘依次為絕對性青光眼(23.9%)，感染與炎症(17.5%)，眼內腫瘤(11.2%)，與法修補之眼球破裂傷(8.0%)，前葡萄腫(5.7%)及其他(2.3%)。
比較本科於1961年至1980年之統計結果，外傷後即施予眼球摘除之比率有顯著減少（第一報為17.5%，本文為8.0%），應為交感性眼炎治療觀念改變及顯微手術進步之結果。因眼內炎或感染而施行眼球摘除之比率亦有明顯下降（第一報為21.3%，本文為17.5%），這應歸功於診斷與治療方法之進步，包括玻璃體手術運用於治療眼內炎。
因眼內手術併發症導致眼球摘除者有45例(10.3%)，其中因白內障手術併發症而導致者有24例（囊內晶體摘除手術併前房型人工水晶體植入16例），值得吾人警惕。

並列摘要

The primary causes of 439 enucleations or eviscerations were reviewed and analyzed. They were collected from the hospital charts of the Veterans General Hospital-Taipei between 1981 and 1993.
Phthisis bulbi was the most important cause (31.4%), followed by absolute glaucoma(23.9%), infection/inflammation(17.5%), intraocular tumor (11.2%), irreparable eyeball rupture (8.0%), anterior staphyloma (5.7%) and miscellaneous (2.3%). The peak age was between 50 and 70 years old. Male to female ratio was 2.46:1.
Compared with our previous study (1982) and this series, trauma-related group was still the most common cause of enucleation or evisceration. Irreparable eyeball perforation leading to enucleation or evisceration decreased in percentage (from 17.5% to 8%).
There were 45 cases of intraocular surgery leading to enucleation. Among those, 24 cases were post cataract extraction (sequelae of AC IOL implantation occurred in 16 cases), 10 glaucoma surgery, 2 scleral buckle procedure, 7 vitreous surgery and 2 keratoplasty.
No enucleation for sympathetic ophthalmia was done in this series

並列關鍵字

Enucleation ； Evisceration