IP International Journal of Ocular Oncology and Oculoplasty


A prospective study to analyze the cosmetic outcomes of non-integrated primary orbital implants following evisceration


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Author Details: Manoj Vasudevan, M. Nivean

Volume : 3

Issue : 1

Online ISSN : 2581-5016

Print ISSN : 2581-5024

Article First Page : 23

Article End Page : 28


Abstract

Evisceration is a surgical procedure in which the internal contents of the eye are removed leaving behind the sclera. It is a usual practice to consider an orbital implant at a later date, may be 4-6 weeks after the procedure in a second sitting to correct cosmetically the disfigurement with an orbital implant because of the chance of infections are high and the incidence of implant extrusion increases. Enucleation is a surgical procedure in which the entire globe is removed along with the sclera and a bit of stump of the optic nerve. But in clinical practice evisceration and enucleation overlaps many a time in cases of penetrating ocular trauma and painful blind eyes. Evisceration is absolutely contraindicated in the setting of suspected intraocular malignancy and may be the preferred form of treatment for end-stage endophthalmitis where enucleation is contraindicated. Innovations with scleral modifications during evisceration helps in the placement of an appropriate size orbital implant and the ready availability of orbital implants have overcome the limitation of deferring the use of orbital implants during the primary procedure. Due to its simplicity, efficiency, and good cosmetic results, evisceration have once again gained popularity in the present times with placement of orbital implants in the primary setting itself when compared to enucleation.

Keywords:
Conformer, Endophthalmitis, Evisceration, Orbital implants, PMMA, Prosthesis