Methods of Globe Removal and Orbital Implants

Background: This report describes surgical techniques used for patients who had underwent eye removal surgery with orbital implant replacement in Shahid Sadoughi hospital, Yazd, Iran. Objectives: The aim of eye removal approaches is to achieve a normal appearance and satisfactory motility with low complication rate. In this study, we analyzed different eye removal methods in Yazd Shahid Sadoughi hospital, taking into consideration the patient’s age, gender, implant type and surgical complications. Patients and Methods: Medical records of patients who underwent eye removal surgery including enucleation, evisceration and exenteration were reviewed, retrospectively. Demographic data, ocular diagnosis, surgical techniques, implant type and postoperative complications were gathered and documented. Data was analyzed by SPSS-16 based using descriptive statistics and the chi-square test. Results: We studied 102 cases, 70 males (68.6%) and 32 females (31.4%). Surgery was more common for 20 to 50 years old patients (53.9%). Enucleation was performed on 90.2% of cases and the more frequently used implant was hydroxyapatite (88.2%). Frequent causes of enucleation, evisceration and exenteration were trauma (61.4%), endophthalmitis (100%) and tumor (83.3%), respectively. The most common complication was discharge (15.7%). Conclusions: Enucleation with replacement of hydroxyapatite implant was the most common type of surgery as it was safe with low rate of complications.