title: [Ten years of destructive eyeball surgery in Lomé].
abstract: BACKGROUND
  Destructive surgery of the eyeball comprises radical procedures - evisceration, enucleation, and exenteration - with various indications. The purpose of this study was to determine the features of these procedures in Lomé.
  
  
  METHODS
  We conducted a retrospective study reviewing records for all patients undergoing these procedures in 3 ophthalmic centers in Lomé in the decade from 2002 through 2011.
  
  
  RESULTS
  Of 6240 eye operations, 76 involved one of these three procedures, for a frequency of 1.2%. Patients' mean age was 40.1 ± 26.9 years (range: 1 day to 91 years). The sex ratio (of men to women) was 1.2. The principal indications were staphyloma (38%), ocular and orbital tumors (30%), and phthisis bulbi (24%). Retinoblastoma was the leading type of ocular/orbital tumor (52%). Local anesthesia was performed in 64% of cases, and general anesthesia in 36%. Evisceration was practiced in 67% of cases, enucleation in 24%, and exenteration in 9%. An ocular prosthesis was placed in 46%.
  
  
  CONCLUSIONS
  Staphyloma was the leading indication for destructive surgery. Given the damage of this type of procedure, primary prevention is important, including early and adequate management of ocular conditions.
authors.affiliation: Service d'ophtalmologie, CHU Sylvanus-Olympio Lomé, Togo, Faculté des sciences de la santé de l'université de Lomé, BP 13648, Lomé, Togo.
authors.forename: K
authors.initials: K
authors.lastname: Vonor
authors.affiliation: Service d'ophtalmologie, CHU Sylvanus-Olympio Lomé, Togo, Faculté des sciences de la santé de l'université de Lomé, BP 13648, Lomé, Togo.
authors.forename: K M
authors.initials: KM
authors.lastname: Amedome
authors.affiliation: Service d'ophtalmologie, CHU Sylvanus-Olympio Lomé, Togo, Faculté des sciences de la santé de l'université de Lomé, BP 13648, Lomé, Togo.
authors.forename: K
authors.initials: K
authors.lastname: Dzidzinyo
authors.affiliation: Service d'ophtalmologie, CHU Sylvanus-Olympio Lomé, Togo, Faculté des sciences de la santé de l'université de Lomé, BP 13648, Lomé, Togo.
authors.forename: K D
authors.initials: KD
authors.lastname: Ayena
authors.affiliation: Service d'ophtalmologie, CHU Sylvanus-Olympio Lomé, Togo, Faculté des sciences de la santé de l'université de Lomé, BP 13648, Lomé, Togo.
authors.forename: M K A
authors.initials: MK
authors.lastname: Santos
authors.affiliation: Service d'ophtalmologie, CHU Sylvanus-Olympio Lomé, Togo, Faculté des sciences de la santé de l'université de Lomé, BP 13648, Lomé, Togo.
authors.forename: N
authors.initials: N
authors.lastname: Maneh
authors.affiliation: Service d'ophtalmologie, CHU Sylvanus-Olympio Lomé, Togo, Faculté des sciences de la santé de l'université de Lomé, BP 13648, Lomé, Togo.
authors.forename: Y
authors.initials: Y
authors.lastname: Tete
authors.affiliation: Faculté des sciences de la santé de l'université de Lomé, BP 13648, Lomé, Togo.
authors.forename: K P
authors.initials: KP
authors.lastname: Balo
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002648:Child; D002675:Child, Preschool; D005128:Eye Diseases / Q000601:surgery*; D015353:Eye Enucleation / Q000706:statistics & numerical data*; D017234:Eye Evisceration / Q000706:statistics & numerical data*; D005260:Female; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D013997:Time Factors; D014037:Togo; D055815:Young Adult
keywords: Togo; epidemiology; evisceration; phtysis; retinoblastoma; staphyloma