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2013, vol. 70, br. 1, str. 26-31
Uzroci enukleacije očne jabučice - analiza 586 enukleisanih očnih jabučica
Klinički centar Srbije, Klinika za očne bolesti, Beograd, Srbija

e-adresamaliceda@eunet.rs
Ključne reči: oko, enukleacija, oko, bolesti; faktori rizika
Sažetak
Uvod/Cilj. Uklanjanje očne jabučice predstavlja jednu od najstarijih hirurških procedura. Cilj rada je bio ispitivanje razloga za uklanjanje očne jabučice. Metode. Retrospektivnom studijom obuhvaćene su sve enukleacije očnih jabučica koje su urađene u periodu između januara 2000. i decembra 2008. u Institutu za očne bolesti u Beogradu. Analizom su obuhvaćene demografske karakteristike bolesnika i dijagnoze oboljenja oka kod kojih je urađena enukleacija. Dijagnostika je bila zasnovana na kliničkom i histološkom nalazu. Kliničke indikacije za enukleaciju podeljene su na: tumore, glaukom, traumu, infektivne bolesti i druge bolesti oka. Statistička analiza je vršena korišćenjem Studentovog t-testa. Rezultati. Enukleacija je urađena kod 586 bolesnika, 315 muškaraca i 271 žene, prosečne starosti 57,81 (raspona od 3 meseca do 96 godina). Najčešći uzroci enukleacije bili su tumori (76,11%), (p < 0,05). Najčešći uzroci enukleacije u okviru tumora bolesnika bili su horoidalni melanomi (81,18%) i retinoblastomi (12,34%). Enukleacija zbog glaukoma urađena je kod 8,02% bolesnika, i to najčešće zbog neovaskularnog glaukoma (42,55%). Trauma je bila uzrok za enukleaciju kod 38,30% bolesnika. Po učestalosti trauma je treći najčešći razlog za enukleaciju, najčešće akutna trauma (56,26%), a zatim ftiza očne jabučice (31,25%). Inflamacija kao razlog za enukleaciju bila je prisutna kod 2,90% bolesnika, od čega kod 52,94% enukleacija je urađena posle perforacije rožnjače. U grupi drugih bolesti, najčešći razlog za enukleaciju bila je atrofija očne jabučice. Zaključak. Neoplazme, nevaskularni glaukom, akutna povreda oka i atrofija očne jabučice predstavljaju najčešće razloge za enukleaciju očne jabučice.
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O članku

jezik rada: engleski
vrsta rada: originalan članak
DOI: 10.2298/VSP1301026K
objavljen u SCIndeksu: 08.01.2013.
metod recenzije: dvostruko anoniman

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