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Klin Monbl Augenheilkd 2016; 233(04): 414-415
DOI: 10.1055/s-0041-111808
DOI: 10.1055/s-0041-111808
Der interessante Fall
A Novel Technique of Plastic Evisceration for Larger Implants
Ein neues Verfahren der plastischen Evisceratio bulbi für größere ImplantateFurther Information
Publication History
Publication Date:
26 April 2016 (online)
Introduction
A long-lasting controversy has been ongoing whether blind and painful eyes should be surgically treated by evisceration or enucleation of the affected eye. The majority of authors reported better results after evisceration, especially better motility and a more cosmetically acceptable orbit with less superior sulcus deformation, fornix deficiency, orbital volume deficiency, and a lower rate of complications [1], [2], [3], [4]. According to Migliori [5] the results of more recent techniques of enucleation led to a minimalization of differences in outcome between these two approaches.
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References
- 1 Nakra T, Simon GK, Douglas RS et al. Comparing outcomes of enucleation and evisceration. Ophthalmology 2006; 113: 2270-2275
- 2 Tari AS, Malihi M, Kasaee A et al. Enucleation with hydroxyapatite implantation versus evisceration plus scleral quadrisection and alloplastic implantation. Ophthal Plast Reconstr Surg 2009; 25: 130-133
- 3 Yousuf SJ, Jones LS, Kidwell jr. ED. Enucleation and evisceration: 20 years of experience. Orbit 2012; 31: 211-215
- 4 Zheng C, Wu AY. Enucleation versus evisceration in ocular trauma: A retrospective review and study of current literature. Orbit 2013; 32: 356-361
- 5 Migliori ME. Enucleation versus evisceration. Curr Opin Ophthalmol 2002; 13: 298-302
- 6 Kaltreider SA, Jacobs JL, Hughes MO. Predicting the ideal implant size before enucleation. Ophthal Plast Reconstr Surg 2000; 16: 322-325
- 7 Soll DB. Management of the anophthalmic socket and techniques of enucleation, evisceration, and exenteration: Surgical procedures and management of complications. In: Tasman W, Jaeger EA, eds. Duanesʼs Clinical Ophthalmology. Vol 5. Philadelphia: Lippincott Williams & Wilkins; 2005. Chapter 83
- 8 Massry GG, Holds JB. Evisceration with scleral modification. Ophthal Plast Reconstr Surg 2001; 17: 42-47
- 9 Long JA, Tann TM, Girkin CA. Evisceration; a new technique of trans-scleral implant placement. Ophthal Plast Reconstr Surg 2000; 16: 322-325