Causes of Enucleation at Feiz Hospital in 2011-2014

To assess the relative frequencies of etiologies leading to eye removal in patients who referred to Feiz hospital, Isfahan, between 2011 and 2014.
This retrospective study was conducted on patients who underwent eye removal at Feiz hospital. Age, sex, eye laterality, underlying etiology, visual acuity, and surgical technique (enucleation, evisceration, or exenteration) were recorded and analyzed.
This study consists of 204 patients with a mean age of 52.18 ± 24.04 (range 2-92 years). Of whom, 150 subjects (73.5%) were male and 54 subjects (26.5%) were female. The most common cause was trauma (n=84, 41.2%), followed by corneal ulcer (n=35, 17.2%), blind painful eye (n=41, 20.1%; of which, 11 (5.4%) had glaucoma), orbital tumor (n=24, 11.8%), and endophthalmitis (n=20, 9.8%; of which, 2 (1%) had fungal infection), in descending order. One hundred and fifteen patients (56.4%) lived in urban areas, and 89 (43.6%) in rural areas.
This study showed that the majority of causes for enucleation (trauma and corneal ulcer) are preventable. To reduce devastating consequences, it is imperative to raise public awareness about eye protection at work and immediate referral to an ophthalmologist in the case of corneal ulcer.