Review of 1028 bulbar eviscerations and enucleations. Changes in aetiology and frequency over a 20-year period.
OBJECTIVE
To evaluate possible changes in aetiology and frequency of bulbar eviscerations and enucleations.


METHODS
A total of 1028 cases from three two-year periods: 1975-76, 1985-86 and 1995-96 collected by the Eye Pathology Institute were reviewed.


RESULTS
A significant decrease (p<0.001) in number of enucleations was observed from 358 in 1975-76 to 214 in 1995-96, corresponding to an almost equivalent increase in number of eviscerations from 5 in 1975-76 to 83 in 1995-96. The total number of eye removals decreased significantly (p<0.01) over the last two periods from 368 in 1985-86 to 296 in 1995-96. This was primarily caused by a decrease in the number of glaucoma-related enucleations from 32.7% in 1975-76 to 15.0% in 1995-96. The reduction in number was not fully balanced by the increase in glaucoma-related eviscerations.


CONCLUSIONS
Over the last 20 years there has been a change in choice of operation from enucleation to evisceration.
Hansen
A B
AB
Eye Pathology Institute, University of Copenhagen, Denmark.
Petersen
C
C
Heegaard
S
S
Prause
J U
JU
D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002648:Child; D002675:Child, Preschool; D003718:Denmark / Q000453:epidemiology; D005128:Eye Diseases / Q000453:epidemiology* / Q000209:etiology / Q000601:surgery; D015353:Eye Enucleation / Q000706:statistics & numerical data*; D017234:Eye Evisceration / Q000706:statistics & numerical data*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007223:Infant; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D016896:Treatment Outcome