Decadal analysis of nonsoplastic ocular enucleation in a tertiary hospital in southern China

Aims: To analyse the characteristics and trends of non-tumour-related eye removal in southern China from 2009 to 2018. Methods: This retrospective observational study reviewed inpatient data from the Zhongshan Ophthalmic Center between 2009 and 2018 to identify the characteristics and trends of nont...

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Main Authors: Yao Ni, Kerui Wang, Xuanwei Liang, Hao Fang, Zhen Mao, Xingyi Li, Danping Huang, Xianchai Lin, Zuohong Li
Format: Article
Language:English
Published: Elsevier 2025-07-01
Series:Heliyon
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Online Access:http://www.sciencedirect.com/science/article/pii/S2405844025018894
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Summary:Aims: To analyse the characteristics and trends of non-tumour-related eye removal in southern China from 2009 to 2018. Methods: This retrospective observational study reviewed inpatient data from the Zhongshan Ophthalmic Center between 2009 and 2018 to identify the characteristics and trends of nontumour enucleation/evisceration. The chi-square test was used to assess differences in age, sex, and aetiology, whereas linear regression was used to analyse the significance of trends from 2009 to 2018 across subgroups. The nonquadratic Mann‒Kendall test was used to evaluate trends in the aetiology and types of ocular injuries. Results: A total of 1824 patients (mean age: 28 years, standard deviation: 19.2) underwent nontumour-related eye removal during the study period. The major causes were trauma (72.6 %) and perforation (7.7 %). Work-related injuries constituted 30.5 % of ocular trauma cases, representing a moderate increase over the past decade. Nevertheless, no statistically significant trends were identified in the aetiology or specific causes of ocular trauma. Conclusions: From 2009 to 2018, the rate of nontumorous eye removal remained stable, with ocular trauma being the leading cause in southern China. Translational relevance: The findings highlight the need for preventive measures against work-related injuries leading to enucleation and the importance of rigorous childcare to mitigate the risk of eye removal due to trauma.
ISSN:2405-8440