Plastic Surgery for the Enucleation Patient*

Bartlett, Robert E.

doi:10.1016/0002-9394(66)90749-5

Cited by 8 publications

(1 citation statement)

References 5 publications

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“…Potential complications, common between enucleation and evisceration, include infection, hemorrhage, and implant extrusion. Long-term complications include sunken/deep superior fornix, lower eyelid laxity and ectropion, upper eyelid ptosis, socket contraction, conjunctival cyst formation, implant migration and late extrusion of the implant 7086–99. More common and/or serious complications will be addressed in detail.…”

Section: Outcomementioning

confidence: 99%

Evisceration in the modern age

Phan

Hwang

McCulley

2012

Middle East Afr J Ophthalmol

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Evisceration is an ophthalmic surgery that removes the internal contents of the eye followed usually by placement of an orbital implant to replace the lost ocular volume. Unlike enucleation, which involves removal of the entire eye, evisceration potentially causes exposure of uveal antigens; therefore, historically there has been a concern about sympathetic ophthalmic (SO) associated with evisceration. However, critical review of the literature shows that SO occurs very rarely, if ever, as a consequence of evisceration. Its clinical applications overlap with those of enucleation in cases of penetrating ocular trauma and blind painful eyes, but it is absolutely contraindicated in the setting of suspected intraocular malignancy and may be preferred for treatment of end-stage endophthalmitis. From a technical standpoint, traditional evisceration has a limitation in the orbital implant size. Innovations with scleral modification have overcome this limitation, and accordingly, due to its simplicity, efficiency, and good cosmetic results, evisceration has once again been gaining popularity.

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Section: Outcomementioning

confidence: 99%