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[Evisceration using the Russian doll or the parachute technique].
J P Adenis1, J Y Rulfi, P Y Robert
1Service d'Ophtalmologie, CHRU Dupuytren, rue Martin Luther King, 87042 Limoges. jp-adenis@wanadoo.fr
Journal Francais D'Ophtalmologie
|March 16, 2002
Summary
Two novel evisceration techniques, "Parachute" and "Russian Doll," offer a large orbital implant volume. These methods aim to prevent post-enucleation socket syndrome by preserving ocular structures.
Area of Science:
- Ophthalmology
- Surgical Techniques
Context:
- Evisceration is a surgical procedure to remove the eye's contents while preserving the sclera.
- Post-enucleation socket syndrome (PESS) can occur after eye removal, leading to complications.
Purpose:
- To describe two new evisceration techniques: "Parachute" and "Russian Doll."
- To provide a larger orbital implant volume to prevent PESS.
Summary:
- The techniques involve corneal and limbal resection with a conservative approach to the posterior cornea and anterior sclera.
- The "Parachute" technique removes posterior sclera, while "Russian Doll" repositions it.
- An orbital implant is inserted using specialized "bird cage" forceps.
Impact:
- These methods offer a safe and effective way to increase orbital implant volume.
- Potential to reduce the incidence and severity of post-enucleation socket syndrome.
