Long-term surgical outcomes of orbital eviscerations due to infectious and non-infectious indications
Author: Nilay Yuksel
Base Hospital / Institution: Ankara City Hospital
ePoster presentation
Abstract ID: 24-440
Purpose
To compare the long-term surgical outcomes of orbital eviscerations due to infectious and non-infectious indications.
Methods
The medical records of patients who underwent orbital evisceration between 2014 and 2024 were reviewed retrospectively. The patients were divided into two groups based on whether the indication for evisceration was infectious or non-infectious.
Results
In total, 33 eyes of 32 patients were evaluated. Eleven patients (33.3%) were eviscerated for infectious reasons (Group A) and 22 (66.6%) for non-infectious reasons (Group B). Patient demographics were similar in both groups. Pain was the main complaint in all patients in Group A. In Group B, four patients (18%) applied for aesthetic concerns and the others (82%) applied for pain. The orbital implant could not be placed in only one patient with severe endophthalmitis (Group A). The mean implant size in Group A was 17.8±2.6 mm and 18.3±1.8 mm in Group B (p = 0.693 ). The mean follow-up time in Group A was 35.91±18.0 months (range:13-65 months). The mean follow-up time in Group B was 28.18±17.7 months (range: 12-64 months). Pathology results revealed mainly ‘chronic active inflammation’ in Group A and ‘calcification and chronic inflammation’ in Group B. While two patients (18%) developed symblepharon in Group A, two patients (9%) required surgery for upper lid ptosis with slight sulcus loss in Group B. In both groups, none of the patients experienced implant exposure.
Conclusion
Our results show no difference in terms of long-term complications, whether the indication for evisceration is infectious or non-infectious. Primary silicone orbital implant placement is safe for both groups undergoing orbital evisceration for infectious or non-infectious indications.
Additional Authors
| First name | Last name | Base Hospital / Institution |
|---|---|---|
| Asım Burak | Gündüz | Ankara City Hospital |
| Atike Burçin | Tefon Arıbaş | Ankara City Hospital |
