Topic: ESOPRS 2021 ePoster sessions
Time: Sep 17, 2021 16:00 Amsterdam, Berlin, Rome, Stockholm, Vienna, 15:00 London
(plain text version here)
Eye amputations during 19 years at Sahlgrenska University Hospital.
Author: Karin Svedberg
ePoster Number: 233
Purpose
There was a high frequency of serious complications after eviscerations and enucleations in a previously unpublished material from the Eye Department at Sahlgrenska University Hospital, 1999-2007. Out of 100 implants, 28 were exposed and 9 had to be removed. Our impression was that after that period complications were rare. The present study aimed at investigating if the impression was correct and if so the reason/s for it.
Methods
We carried out a retrospective study of all patients having undergone an enucleation or an evisceration 2008-2017. Data were collected from medical records.
Results
206 patients were operated, 138 eviscerations and 68 enucleations, 128 with implants. There were 2 spontaneous extrusions of the implant, one implant exposure and two ruptures of the surgical wound. No common denominator could be found for these 5 complications. Comparing the two periods there had been a change in implants used and for eviscerations in surgical technique. From a multitude of different implants to only using polypropylene implants with drilled channels for polyester sutures for enucleations and silicone implants for eviscerations. In eviscerations, a split sclera technique with improved coverage of the implant was introduced.
Conclusion
There was a clinically significant decrease in the frequency of serious complications after eye amputating surgeries through correct choice of implant and surgical technique.
Additional Authors
There are no additional authors to display.
Abstract ID: 21-124