Survival following orbital exenteration at a tertiary brazilian hospital.
OBJECTIVE
to analyze the epidemiology, clinical features and survival rate of patients undergoing orbital exenteration (OE) in a tertiary referral hospital.


METHODS
we conducted a retrospective study of all patients undergoing OE at the Hospital das Clínicas, FMUSP between January 2007 and December 2012. We collected data records related to gender, age, origin, length of stay, duration of the disease, other treatments related to the disease, number of procedures outside of the face related to the disease, follow-up and histological diagnosis.


RESULTS
we treated 37 patients in the study period. The average survival in one year was 70%, in two years, 66.1%, and 58.3% in three years. There was no significant difference in the one-year survival related to histological diagnosis (p=0.15), days of hospitalization (p=0.17), gender (p=0.43), origin (p=0.78), disease duration (p=0.27) or the number of operations for the tumor (p=0.31). Mortality was higher in elderly patients (p=0.02). The average years of life lost was 33.9 in patients under 60 years, 14.7 in patients in the 61-80 years range and 11.3 in patients over 80 years.


CONCLUSIONS
the present series of cases is significant in terms of prevalence of orbital exenteration; on the other hand, it shows one of the lowest survival rates in the literature. This suggests an urgent need for improved health care conditions to prevent deforming, radical resections.
Faculdade de Medicina, Universidade de São Paulo, SP, Brasil.
Juliana Mika
JM
Kato
Departamento de Oftalmologia, Universidade de São Paulo, SP, Brasil.
Fabricio Lopes da
FL
Fonseca
Departamento de Oftalmologia, Universidade de São Paulo, SP, Brasil.
Suzana
S
Matayoshi
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001938:Brazil; D005134:Eye Neoplasms / Q000401:mortality* / Q000601:surgery*; D005260:Female; D006801:Humans; D007223:Infant; D008297:Male; D008875:Middle Aged; D017233:Orbit Evisceration; D009918:Orbital Neoplasms / Q000401:mortality* / Q000601:surgery*; D012189:Retrospective Studies; D015996:Survival Rate; D062606:Tertiary Care Centers