Post-traumatic enucleation of the eyeball in adults Krasnoyarsk region

Abstract

Objective. Research objective is a follow-up analysis of the causes of post-traumatic enecleation of eyeballs in adults of Krasnoyarsk region. Methods. A look back analysis of medical documents of the 100 inhabitants of Krasnoyarsk region, that had a post-traumatic enucleation of the eyeball in 2003-2004 and in 2013-2014. The gender, age, settlement, social status and occupation of patients were taken into account as well as injury type and post-traumatic pathology, and the enucleation waiting period. Results. Primary morbidity of post-traumatic anophthalmia was 0.095 per 10 000 inhabitants over 18 years. In comparison with the 2003-2004 in recent years primary enucleations became threefold frequent, the number of eye resection reduced 1.3 times due to pain subatrophy, and 3.4 times - as a result of post-traumatic secondary glaucoma. The time elapsed from the time of injury to the removal of the eye reduced 6 times - from 12 to 1.8 months. Conclusions. The main factor determining the reduction of the execution time of enucleation is the absence of comprehensive activities of medical and social rehabilitation at the level of medical care that existed at the first analyzed period. Another determining factor reducing the resection time of injured eyeball is transition of ophthalmologists from budgetary structures in private health care organizations.