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目的:通过研究近30a马来西亚西部地区眼球摘除术和眼内容物摘除术的数据统计和手术适应证,观察其近30a的动态变化趋势。方法:通过回顾研究20(a1985/2004)在马来亚大学医学中心接受眼球摘除术和眼球内容摘除术病例资料,对患者的年龄、性别、种族及其手术适应证进行分析。结果:在全部160名患者中,85例单眼行眼球摘除术,75例单眼行眼内容摘除术,患者平均36.4岁(6mo～90岁)。全眼球炎(26.9%)和视网膜母细胞瘤(18.8%)是眼球摘除术和眼球内容摘除术共同的病因,72.0%因眼部感染行眼球摘除术,51.8%因眼部肿瘤行眼内容摘除术。与30a前的统计数据相比较,我们医院近30a的眼球摘除率显著降低,因青光眼和眼创伤疾病导致眼球摘除的数量显著减少,而因感染和疼痛性盲眼导致的眼球摘除数量则有显著增加。结论:全眼球炎和眼内肿瘤是眼球摘除术的主要手术适应证,尽管现在在我国需要行眼球摘除术的病例数量较以前有显著降低,但手术适应证比例的变化提示我们,在马来群岛眼部的护理仍需要很大的改进。
OBJECTIVE: To observe the dynamic changes of the past 30 years by studying the data statistics and surgical indications of enucleation and intraocular material excision in the western region of Malaysia for the past 30 years. METHODS: Patients were analyzed for age, gender, ethnicity, and their indications for surgery by retrospective study 20 (a1985 / 2004) at the University of Malaya Medical Center for enucleation and extirpation. RESULTS: Of the total 160 patients, 85 were monocular ophthalmic resections and 75 monocular intraocular extirpations were performed, with an average of 36.4 years (6 to 90 years). Total ophthalmia (26.9%) and retinoblastoma (18.8%) were common causes of enucleation and extirpation of the globe, 72.0% were enucleated due to ocular infection, and 51.8% were enucleated for ocular tumors Surgery. Compared with pre-30a statistics, our hospital had a significant reduction in the rate of enucleation in the past 30 years, a significant reduction in the number of enucleations due to glaucoma and eye trauma, and a significant number of enucleations due to infection and painful blindness increase. CONCLUSIONS: All-eye inflammation and intraocular tumors are the major surgical indications for enucleation. Although the number of enucleated cases in our country is significantly lower than before, the changes in the proportion of surgical indications prompt us that in Malay Eye care in the islands still needs a lot of improvement.