[The history of an eye-Investigation of enucleated eyes]

Ophthalmologe. 2020 Dec;117(12):1171-1179. doi: 10.1007/s00347-020-01216-0.
[Article in German]

Abstract

Background: A variety of findings can be obtained from enucleated eyes, which provide the ophthalmologist with information with respect to the effectiveness, improvement options and of course also the possible complications of surgical interventions. Representative for many important findings, relevant clinical and ophthalmopathological findings are presented and discussed on the basis of three enucleated eyeballs.

Methods: Clinical histopathological correlation of three enucleated eyeballs.

Results: Enucleated eyeballs typically exhibit advanced changes in different tissues making it sometimes difficult to draw direct conclusions about the original surgical interventions. Nevertheless, many findings on the pathophysiology of different diseases, on wound healing and also on the surgical procedures can be deduced, as shown here in three different cases of epithelial invasion, historical retinal surgery and an endogenous fungal endophthalmitis.

Conclusion: Each enucleated eye should be histopathologically examined and under consideration of the clinical history in order to understand the course of the disease and to use the knowledge gained for the treatment of future patients.

Keywords: Clinical pathological correlation; Endogenous fungal endophthalmitis; Epithelial invasion; Histopathology; Retinal surgery.

Publication types

  • Review

MeSH terms

  • Endophthalmitis* / etiology
  • Endophthalmitis* / surgery
  • Eye Infections, Fungal*
  • Humans
  • Ophthalmologic Surgical Procedures
  • Retina
  • Retrospective Studies
  • Vitreous Body