Evisceration in the modern age.

Middle East African Journal of Ophthalmology
Laura T PhanTimothy J McCulley

Abstract

Evisceration is an ophthalmic surgery that removes the internal contents of the eye followed usually by placement of an orbital implant to replace the lost ocular volume. Unlike enucleation, which involves removal of the entire eye, evisceration potentially causes exposure of uveal antigens; therefore, historically there has been a concern about sympathetic ophthalmic (SO) associated with evisceration. However, critical review of the literature shows that SO occurs very rarely, if ever, as a consequence of evisceration. Its clinical applications overlap with those of enucleation in cases of penetrating ocular trauma and blind painful eyes, but it is absolutely contraindicated in the setting of suspected intraocular malignancy and may be preferred for treatment of end-stage endophthalmitis. From a technical standpoint, traditional evisceration has a limitation in the orbital implant size. Innovations with scleral modification have overcome this limitation, and accordingly, due to its simplicity, efficiency, and good cosmetic results, evisceration has once again been gaining popularity.

Citations

Jun 4, 2013·Journal of Ophthalmic Inflammation and Infection·Xi K Chu, Chi-Chao Chan
Oct 3, 2013·International Ophthalmology·Priscilla Xinhui WangGangadhara Sundar
Oct 1, 2016·Archivos de la Sociedad Española de Oftalmología·M G Arellano-GanemÁ Nava-Castañeda
Sep 13, 2015·BMC Ophthalmology·Osama H AbabnehYacoub A Yousef
Jun 19, 2014·Ophthalmology and Eye Diseases·Giles KagmeniPeter Wiedemann
Apr 11, 2018·Acta Ophthalmologica·Charlotte S E HogeboomAnnette C Moll
Mar 14, 2014·The Journal of Craniofacial Surgery·Massimo RobionyMassimo Politi

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