Original Research Article
Year: 2017 | Month: December | Volume: 7 | Issue: 12 | Pages: 25-30
Patients’ Satisfaction with Destructive Eye Surgery in Ophthalmic Plastic Clinic in a Tertiary Institution
Omotoye Olusola Joseph1, Ajayi Iyiade Adeseye1, Ajogbasile Oluwole Oluseye2
1Consultant Ophthalmologist, 2Ophthalmic Registrar,
Department of Ophthalmology, Ekiti State University Teaching Hospital, PMB 5355 Ado-Ekiti, Nigeria
Corresponding Author: Dr.Omotoye Olusola J
ABSTRACT
Purpose: To determine the rate of eye removal with their indications in a tertiary eye care centre and to assess patients’ satisfaction with the procedure.
Materials and Methods: The study was carried out between January 2010 and July 2017. All clinic and theatre records of 54 patients who had destructive eye procedures were reviewed to obtain demographic characteristics, duration of symptoms, presenting visual acuity, types of destructive procedures, histopathological diagnosis and patients’ satisfaction was assessed during follow up visit. Data were analyzed using SPSS 20. Ethical approval was obtained from the institution’s ethical review committee.
Results: Fifty four patients had destructive eye surgery constituting 30% of all ophthalmic procedures and 3.6% of all ocular surgeries done. There were 35(64.8%) males and 19 (35.2%) females with a male to female ratio of 1.8:1.The commonest indication for destructive eye surgery was inflammatory cause 24(44.4%) occurring at 60years and above followed by traumatic causes which occurred at less than 60years 12(50.9%). The greatest proportion of procedure done was evisceration 44(81.5%), followed by enucleation 8(14.8%) while the least was exenteration. More than 4/5th of the patients that had destructive eye surgery were satisfied with the procedure after one year of follow up. Satisfaction among females was 17(89.5%) and 30(85.7%) in males. None of the patients that had exenteration was satisfied.
Conclusion: The rate of eye removal was relatively high with largely preventable inflammatory conditions in the elderly as the commonest reason for removal. The patients were largely cosmetically satisfied.
Key words: Clinic; Destructive procedures; Eye-removal; Ophthalmic-plastic