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Updated: Jul 22, 2026
A Simplified Technique for In situ Excision of Cornea and Evisceration of Retinal Tissue from Human Ocular Globe
Published on: June 12, 2012
Evisceration with scleral modification
1Sinskey Eye Institute, Santa Monica, California 90404, USA.
Purpose:
To describe an evisceration technique that combines scleral modification with optic nerve release for coverage of any sized orbital implant.
Methods:
The medical records of 70 patients who underwent the described evisceration procedure were reviewed.
Results:
The average implant was 20 mm in diameter, with 50 patients (71%) receiving a solid polymethylmethacrylate sphere. Fifty-eight patients (83%) had a history of at least one previous ocular surgery, and 12 patients (17%) had phthisical eyes preoperatively with moderate to severe scleral cicatrization. Postoperatively, there were two cases of new or worsened ptosis, no cases of worsened motility, and no cases of implant extrusion.
Conclusion:
Evisceration with scleral modification is a simple and effective procedure that allows placement of any size orbital implant. Surgical results are excellent with few complications.
