title: Enucleation and evisceration at a tertiary care hospital in a developing country.
abstract: BACKGROUND
  To analyze the demographics, indications, and surgical outcomes of anophthalmic surgery (enucleation and evisceration) at Jordan University Hospital during a 5-year period.
  
  
  METHODS
  We conducted a retrospective chart review of patients who had undergone evisceration or enucleation between August 2006 and June 2011. The data collected included age at time of surgery, sex, affected eye, surgical indication, implant size, and postoperative complications.
  
  
  RESULTS
  Anophthalmic surgery was performed for 68 eyes of 67 patients during the study period (42 (62 %) eviscerations and 26 (38 %) enucleations). Forty-three patients (64 %) were men, and 40 (59 %) eyes were right eyes. Trauma was the leading cause for anophthalmic surgery in 40 % of cases followed by a blind painful eye secondary to glaucoma (19 %) in the enucleation group and endophthalmitis (28.6 %) in the evisceration group. The most common anophthalmic surgery complication was wound dehiscence in 11.5 % of patients in the enucleation and 9.5 % in the evisceration groups. The mean and median sizes of the implants for evisceration were 16.6 and 18.0 mm, respectively; for enucleation, both were 20 mm.
  
  
  CONCLUSIONS
  Evisceration was the preferred anophthalmic surgery in our series unless contraindicated. Trauma was the most common predisposing factor for evisceration and enucleation in our tertiary care center followed by blind painful eyes and endophthalmitis. The most common complication was wound dehiscence in both groups.
authors.affiliation: Department of Ophthalmology, Jordan University Hospital, The University of Jordan, Amman, Jordan. Ababneh99@yahoo.com.
authors.forename: Osama H
authors.initials: OH
authors.lastname: Ababneh
authors.affiliation: Department of Ophthalmology, Sana'a University, Sana'a, Yemen. emanabotaleb@yahoo.com.
authors.forename: Eman A
authors.initials: EA
authors.lastname: AboTaleb
authors.affiliation: Department of Ophthalmology, Jordan University Hospital, The University of Jordan, Amman, Jordan. mohammd_73@yahoo.com.
authors.forename: Mohammad A
authors.initials: MA
authors.lastname: Abu Ameerh
authors.affiliation: Department of Surgery, King Hussein Cancer Center, Amman, Jordan. drjaqub@yahoo.com.
authors.forename: Yacoub A
authors.initials: YA
authors.lastname: Yousef
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002648:Child; D002675:Child, Preschool; D003906:Developing Countries; D005128:Eye Diseases / Q000453:epidemiology / Q000601:surgery; D015353:Eye Enucleation / Q000706:statistics & numerical data*; D017234:Eye Evisceration / Q000706:statistics & numerical data*; D005137:Eye, Artificial; D005260:Female; D006801:Humans; D007223:Infant; D007597:Jordan; D008297:Male; D008875:Middle Aged; D013508:Ophthalmologic Surgical Procedures; D020273:Orbital Implants; D011183:Postoperative Complications; D019651:Plastic Surgery Procedures; D012189:Retrospective Studies; D062606:Tertiary Care Centers / Q000706:statistics & numerical data*