"On the table evisceration": Technical note

Revue de stomatologie, de chirurgie maxillo-faciale et de chirurgie orale
H Guigue BenayounL Guyot

Abstract

Evisceration consists in removal of the orbital content whilst preserving the sclera. It allows for good esthetic results after fitting of an eye prosthesis. The "on the table" evisceration technique consists in 3 operative steps: (1) removal of the eyeball after optic nerve section (enucleation); (2) removal of the content of the globe on the operating table (evisceration) and (3) implantation in the orbital cavity of a hydroxyapatite orbital implant wrapped into the sclera in order to keep the orbital volume. Evisceration is indicated in blind, painful and unaesthetic eyes that cannot be preserved. The "on the table" evisceration technique is an easy procedure allowing for a good volume restauration and for supporting a mobile eye prosthesis thanks to the placement of a hydroxyapatite orbital implant wrapped into the patient's own sclera and to muscular re-insertion.

References

Nov 19, 2011·The British Journal of Ophthalmology·Su-Kyung JungSuk-Woo Yang
May 1, 2012·The British Journal of Ophthalmology·Saurabh KamalSushil Kumar
May 31, 2012·Orbit·Salman J YousufEarl D Kidwell

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