Patient satisfaction and results after evisceration with a split-sclera technique

Area of Science:

• Ophthalmology
• Ophthalmic Surgery
• Orbital Implants

Background:

• Ocular evisceration with orbital implant placement is a common surgical procedure.
• The split-sclera technique aims to improve outcomes and patient satisfaction post-evisceration.

Purpose of the Study:

• To evaluate the postoperative results of evisceration using a split-sclera technique.
• To assess patient satisfaction and psychological well-being following the procedure.

Main Methods:

• Retrospective review of 60 patients undergoing evisceration with a split-sclera technique and orbital implant.
• Data collected from medical records (1995-2003) and patient questionnaires.
• Clinical examination performed on a subset of patients.

Main Results:

• Low implant exposure rate of 4.8% (3/62 orbits).
• 28% (9/32) of surveyed patients reported postoperative depression, linked to recent eye trauma.
• 78% (25/32) of patients expressed satisfaction with the cosmetic results, despite limited prosthesis motility.

Conclusions:

• The split-sclera evisceration technique is effective with a low risk of implant exposure.
• Postoperative depression is a significant concern, with recent trauma as a risk factor.
• Patient satisfaction with cosmetic appearance is generally high.