iarjmcrIARJMCRIARJMCR2709-3220https://doi.org/10.47310/iarjmcr.2020.v01i01.008Eye Mutilating Surgery: About 106 cases in the Pediatric Ophthalmology Department at the Institute of African Tropical Ophthalmology (IOTA)ThéraJPKonipoATiamaJMIntroduction: This study aims at determining characteristics of eye mutilating surgeries in children in the pediatric ophthalmology department at the Institute of African Tropical Ophthalmology located in Mali (West Africa). Patients and methods: this was a retrospective descriptive study on the case history of mutilating surgery children aged 0 to 16 in the pediatric ophthalmology department of IOTA (the only available pediatric ophthalmology center in the country) between January 1, 2014 and December 31, 2018 (5 years). Results: During the study period, 106 eyes of 105 children were operated on through mutilating surgeries out of a total of 1405 procedures, with a frequency of 7.55%. The average age was 4.02 years with extremes of 1 and 16. Indications for mutilating surgery were dominated by oculo-orbital tumors (including retinoblastoma) with 60.38% (n = 65). (Table I). Retinoblastoma alone accounted for 54.72%. General anesthesia was performed in 96.22% (n = 102) of the cases. Enucleation was the commonest with 64.15% (n = 68), evisceration accounted for 33.96% (n = 41) and exenteration 1.89%. Conclusion: Mutilating surgery represents a significant part in the pediatric environment. Its performance should be subject of informed decision from the doctor and the child’s legal representatives.