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Published on: October 6, 2014
Painful blind eye: efficacy of enucleation and evisceration in resolving ocular pain
S D Shah-Desai1, A G Tyers, R M Manners
1Eye Department, Salisbury District Hospital, Odstock, Salisbury SP2 8BJ, UK.
Aims:
To assess the effectiveness of enucleation or evisceration in relieving pain from painful blind eyes.
Methods:
24 patients with intractable ocular pain underwent enucleation or evisceration with or without an orbital implant.
Results:
Complete pain relief was achieved in all patients at an average time of 3 months (range 1-15 months). Seven patients required further medical or surgical treatment in addition to removal of the globe.
Conclusion:
Enucleation and evisceration were effective in relieving ocular pain in all patients with a painful blind eye in our study. However, complications of surgery and orbital implants can cause recurrent pain.
