skip to content
Dovepress - Open Access to Scientific and Medical Research
View our mobile site

8852

Indications for destructive eye surgeries at the Yaounde Gynaeco-Obstetric and Paediatric Hospital

Original Research

(1437) Views  (335) Full article downloads

Authors: Eballé A, Dohvoma VA, Koki G, Oumarou A, Bella A, Ebana CM

Published Date May 2011 Volume 2011:5 Pages 561 - 565
DOI: http://dx.doi.org/10.2147/OPTH.S18449

André Omgbwa Eballé1,2, Viola Andin Dohvoma3, Godefroy Koki3, Abdouramani Oumarou2, Assumpta Lucienne Bella3, Côme Ebana Mvogo1
1Faculty of Medicine and Pharmaceutical Sciences, University of Douala, Cameroon; 2Gynaeco-Obstetric and Paediatric Hospital, Yaoundé, Cameroon; 3Faculty of Medicine and Biomedical Sciences, University of Yaoundé I, Cameroon

Objective: To determine the indications and rate of acceptance for destructive eye surgeries at the ophthalmology unit of the Yaoundé Gynaeco-Obstetric and Paediatric Hospital.
Methods: A retrospective consecutive case series in which the medical records of all patients consulting in this unit over a 9-year period (2002 to 2010) were reviewed. Records in which destructive surgery was recommended were retained. Information collected included demographic data, eye affected, clinical diagnosis, acceptance or refusal of surgery, and the outcome in those in whom surgery was performed.
Results: A total of 48 patients had a recommendation for destructive eye surgery, of whom 30 (62.5%) were males and 18 (37.5%) were females. Mean age was 43.78 (SD = 28.11; range 1 month to 91 years). Children <10 years comprised 23.10%. The leading causes were endophthalmitis/panophthalmitis (47.9%), neoplasm (20.8%), and absolute glaucoma (14.6%). Surgery was done in 20 cases (41.7%). Evisceration was the most performed surgical procedure (50%), with endophthalmitis/panophthalmitis and neoplasm combined accounting for 65% of surgeries.
Conclusion: The high rate of refusal is an indication of the psychological devastation undergone by patients or the families of children in whom eye removal is recommended. Awareness should be raised on preventive measures and the need to rapidly seek eye care.

Keywords: destructive eye surgery, endophthalmitis, neoplasm






 

Other articles by Dr Andre Eballe



Readers of this article also read:

Gamma knife radiosurgery for uveal melanoma ineligible for brachytherapy by the Collaborative Ocular Melanoma Study criteria
Role of aliskiren in cardio-renal protection and use in hypertensives with multiple risk factors
Functional mobility and balance in community-dwelling elderly submitted to multisensory versus strength exercises
Erratum - Intracellular heavy metal nanoparticle storage
Electrophysiologic changes after intravitreal ranibizumab injection for the treatment of choroidal neovascular membrane (CNVM)
Improvement of adenoviral vector-mediated gene transfer to airway epithelia by folate-modified anionic liposomes
Perception of risk and benefit in patient-centered communication and care
The relationship between deliberate self-harm behavior, body dissatisfaction, and suicide in adolescents: current concepts
Zinc oxide nanoparticles as selective killers of proliferating cells
Cumulative clinical experience from over a decade of use of levofloxacin in community-acquired pneumonia: critical appraisal and role in therapy