title: Indications for eye removal surgeries. A 15-year experience at a tertiary military hospital.
abstract: OBJECTIVE
  To analyze the indications and types of eye removals at a military tertiary care hospital in Turkey.
  
  
  METHODS
  The medical records (age, gender, affected eye, type of surgical procedure, indications of surgery) of 123 patients who underwent evisceration and enucleation in the course of a 15-year period (January 2000 to December 2014) at Gulhane Military Medical Academy, Ankara, Turkey were reviewed retrospectively.
  
  
  RESULTS
  The mean age was 35.61±18.52 (range 3-80 years). The number of male in the patient group was 92 (74.8%) and female was 31 (25.2%). Patients who underwent evisceration were 95 (77.2%), whereas 28 (22.8%) of them underwent enucleation. The mean age of the eviscerated patients was 30.63±13.08, whereas the mean age of the enucleated patients was 52.50±23.92 (p less than 0.001). The leading indications for eye amputations were trauma (n=62, 50.4%), malignancy (n=20, 16.3%), painful blind eye and absolute glaucoma (n=20, 16.3%), endophthalmitis (n=12, 9.7%), and phthisis bulbi, and cosmetic reasons (n=9, 7.3%).
  
  
  CONCLUSIONS
  Trauma was the most common etiology for evisceration, and malignancy was the most common etiology for enucleation. Using protective eyewear and early detection of intraocular malignancy and glaucoma through routine ophthalmic examinations are essential for providing non-invasive treatment modalities instead of eye removal.
authors.affiliation: Department of Ophthalmology, Tatvan Military Hospital, Tatvan, Bitlis, Turkey. E-mail. talaykoylu@hotmail.com.
authors.forename: Mehmet T
authors.initials: MT
authors.lastname: Koylu
authors.forename: Gokcen
authors.initials: G
authors.lastname: Gokce
authors.forename: Yusuf
authors.initials: Y
authors.lastname: Uysal
authors.forename: Osman M
authors.initials: OM
authors.lastname: Ceylan
authors.forename: Dorukcan
authors.initials: D
authors.lastname: Akıncıoglu
authors.forename: Armagan
authors.initials: A
authors.lastname: Gunal
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002648:Child; D002675:Child, Preschool; D005128:Eye Diseases / Q000453:epidemiology / Q000601:surgery*; D015353:Eye Enucleation / Q000706:statistics & numerical data*; D017234:Eye Evisceration / Q000706:statistics & numerical data*; D005131:Eye Injuries / Q000453:epidemiology / Q000601:surgery*; D005260:Female; D006772:Hospitals, Military / Q000706:statistics & numerical data; D006801:Humans; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D062606:Tertiary Care Centers / Q000706:statistics & numerical data; D014421:Turkey / Q000453:epidemiology; D055815:Young Adult