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Evisceration with scleral modification.

G G Massry1, J B Holds

  • 1Sinskey Eye Institute, Santa Monica, California 90404, USA.

Ophthalmic Plastic and Reconstructive Surgery
|February 24, 2001
PubMed
Summary
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This study presents an evisceration technique using scleral modification and optic nerve release, enabling the use of any orbital implant size. The procedure is simple, effective, and yields excellent surgical results with minimal complications.

Area of Science:

  • Ophthalmology
  • Ophthalmic Surgery

Background:

  • Orbital implant placement following evisceration can be limited by scleral characteristics.
  • Previous ocular surgeries and phthisical eyes with scleral cicatrization pose challenges for standard evisceration.

Purpose of the Study:

  • To describe a novel evisceration technique combining scleral modification and optic nerve release.
  • To demonstrate the technique's capability to accommodate orbital implants of any size.

Main Methods:

  • Retrospective review of 70 patients undergoing the described evisceration procedure.
  • Analysis of implant size, type, and postoperative outcomes.

Main Results:

  • The average orbital implant diameter was 20 mm, with polymethylmethacrylate spheres used in 71% of cases.

Related Experiment Videos

  • 83% of patients had prior ocular surgery; 17% had phthisical eyes with significant scleral scarring.
  • Postoperative complications included two cases of ptosis; no implant extrusion or worsened motility occurred.

    • Conclusions:

    • Evisceration with scleral modification and optic nerve release is a straightforward and effective surgical approach.
    • This technique facilitates the placement of orbital implants of all sizes with excellent outcomes and a low complication rate.