Twenty Years of Anophthalmic Surgery in a Tertiary Referral Center: Etiologies, Surgical Trends, and Clinical Findings.
5 affiliations
- 1Department of Ophthalmology, University of Health Sciences, Sancaktepe Sehit Prof. Dr. Ilhan Varank Training and Research Hospital, Istanbul, Türkiye.
- 2Department of Ophthalmology, Osmangazi Aritmi Hospital, Bursa, Türkiye.
- 3Department of Ophthalmology, Ercis Sehit Ridvan Cevik State Hospital, Van, Türkiye.
- 4Department of Ophthalmology, University of Health Sciences, Beyoglu Eye Training and Research Hospital, Istanbul, Türkiye.
- 5Department of Ophthalmology, Eye and Body Clinic, Istanbul, Türkiye.
Abstract
Objectives
To evaluate the etiological causes, demographic characteristics, surgical procedures, implant features, complications, and additional surgical interventions in patients undergoing anophthalmic surgery over a 20-year period.Methods
The records of patients who underwent evisceration, enucleation, sphere exchange, secondary sphere implantation, and anophthalmic socket reconstruction at our institution between 2003 and 2023 were reviewed. Etiologic and demographic data, surgical procedures, orbital implant diameter and material, postoperative complications, additional surgical procedures, and follow-up periods were recorded. Female patients were classified as group 1 and male patients as group 2, and both groups were subjected to comparative analysis.Results
A total of 603 patients were divided into two groups: Group 1 (female, 32.2%) and Group 2 (male, 67.8%). The mean age at the time of surgery was comparable between the two groups (p=0.830). Trauma was the most common etiology, malignancy the least common. Evisceration was the most frequently performed procedure, and enucleation the least. The mean diameter of implanted spheres was significantly smaller in Group 1 (p=0.001). No significant difference in implant materials was observed (p=0.590). Conjunctival suture dehiscence and infection were the most common complications, showing similar profiles in both groups.Conclusion
Trauma was the leading cause in both groups, with evisceration as the most frequently performed procedure. These procedures addressed the underlying ocular pathologies and contributed to orbital volume restoration when indicated.
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BibTeX
@article{balci2026twenty,
title = {{Twenty Years of Anophthalmic Surgery in a Tertiary Referral Center: Etiologies, Surgical Trends, and Clinical Findings.}},
author = {Ali Safa Balci and Husna Topcu and Merve Emul and Mehmet Goksel Ulas and Ayse Cetin Efe and Fatma Poslu Karademir and Kubra Serefoglu Cabuk},
journal = {Beyoglu eye journal},
year = {2026},
month = oct,
doi = {10.14744/bej.2026.89896},
url = {https://europepmc.org/article/MED/42898509},
note = {CC BY-NC},
}
RIS
TY - JOUR
TI - Twenty Years of Anophthalmic Surgery in a Tertiary Referral Center: Etiologies, Surgical Trends, and Clinical Findings.
AU - Ali Safa Balci
AU - Husna Topcu
AU - Merve Emul
AU - Mehmet Goksel Ulas
AU - Ayse Cetin Efe
AU - Fatma Poslu Karademir
AU - Kubra Serefoglu Cabuk
PY - 2026
DA - 2026/10/01
JO - Beyoglu eye journal
DO - 10.14744/bej.2026.89896
UR - https://europepmc.org/article/MED/42898509
AB - Objectives To evaluate the etiological causes, demographic characteristics, surgical procedures, implant features, complications, and additional surgical interventions in patients undergoing anophthalmic surgery over a 20-year period.Methods The records of patients who underwent evisceration, enucleation, sphere exchange, secondary sphere implantation, and anophthalmic socket reconstruction at our institution between 2003 and 2023 were reviewed. Etiologic and demographic data, surgical procedures, orbital implant diameter and material, postoperative complications, additional surgical procedures, and follow-up periods were recorded. Female patients were classified as group 1 and male patients as group 2, and both groups were subjected to comparative analysis.Results A total of 603 patients were divided into two groups: Group 1 (female, 32.2%) and Group 2 (male, 67.8%). The mean age at the time of surgery was comparable between the two groups (p=0.830). Trauma was the most common etiology, malignancy the least common. Evisceration was the most frequently performed procedure, and enucleation the least. The mean diameter of implanted spheres was significantly smaller in Group 1 (p=0.001). No significant difference in implant materials was observed (p=0.590). Conjunctival suture dehiscence and infection were the most common complications, showing similar profiles in both groups.Conclusion Trauma was the leading cause in both groups, with evisceration as the most frequently performed procedure. These procedures addressed the underlying ocular pathologies and contributed to orbital volume restoration when indicated.
SN - 2459-1777
SN - 2587-0394
ER -