41 Evisceration
Book
Editors: Freitag, Suzanne K.; Lee, N. Grace; Lefebvre, Daniel R.; Yoon, Michael K.
Title: Ophthalmic Plastic Surgery
Subtitle: Tricks of the Trade
Print ISBN: 9781626238978; Online ISBN: 9781626238985; Book DOI: 10.1055/b-006-163725
2020 © 2020 Georg Thieme Verlag KG
Georg Thieme Verlag, Stuttgart
Subjects: Ophthalmology, Optometry;Plastic, Reconstructive and Cosmetic Surgery
Thieme Clinical Collections (English Language)
Summary
Evisceration is a surgical method for eye removal while preserving the sclera of the eye. This is employed in cases of acute endophthalmitis, phthisis bulbi, or other causes of blind, painful eye without a known or suspected malignancy. Advantages of this surgery over enucleation include preservation of orbital anatomic relationships and a technically faster procedure. Prior to surgery, unless the posterior segment can be visualized, imaging must be acquired. Various techniques of scleral preservation or modification have been described and can be selected based on surgeon preference and patient factors.