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Freitag, Suzanne K. et al.: 2020 Ophthalmic Plastic Surgery DOI: 10.1055/b-0039-173368
Part IX Anophthalmic Socket

41 Evisceration

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Editors: Freitag, Suzanne K.; Lee, N. Grace; Lefebvre, Daniel R.; Yoon, Michael K.

Authors: Aakalu, Vinay K.; Armstrong, Blair K.; Barmettler, Anne; Barsegian, Arpine; Bergman, Mica Y; Bi, Wenya Linda; Bleier, Benjamin S.; Bonafede, Lucas; Callahan, Alison; Campbell, Ashley A.; Chambers, Christopher B.; Charlson, Emily; Chang, Shu-Hong (Holly); Choe, Christina H.; Choi, Catherine J.; Cohen, Liza M.; Dajani, Omar; DeParis, Sarah W.; Dunbar, Kristen E.; Dunn, Ian F.; Eftekhari, Kian; Elliott, Alexandra T.; Fu, Roxana; Giacometti, Joseph; Glass, Lora R. Dagi; Godfrey, Kyle J.; Gonzalez, Mithra O.; Grob, Seanna; Habib, Larissa H.; Homer, Natalie; Jalaj, Sanjai; Jiménez-Pérez, Juan C.; Lee, Bradford W.; Lelli, Gary J.; Liao, Shu Lang; Liu, Catherine Y.; Liu, Honglei; MacIntosh, Peter W.; Mahoney, Nicholas; Mantagos, Jason S.; Mehta, Sonul; Migliori, Michael E.; Mueller, Sarina K.; Nguyen, Tieu Vy; Oatts, Julius T.; Olvera-Morales, Osiris; Pham, Chau; Rok, Do Eon; Servat, Javier; Setabutr, Pete; Shah, Neil; Shinder, Roman; Siegal, Nora K.; Simmons, Brittany A.; Starks, Victoria; Tao, Jeremiah P.; Teo, Livia; Tovilla-Canales, José Luis; Tran, Ann Q.; Tseng, Michael; Weber, Adam; Winn, Bryan J.; Wladis, Edward J.; Wolkow, Natalie; Yadav, Prashant; Yen, Michael T.; Yuen, Hunter; Zhan, Senmiao; Zhang-Nunes, Sandy

Title: Ophthalmic Plastic Surgery

Subtitle: Tricks of the Trade

Print ISBN: 9781626238978; Online ISBN: 9781626238985; Book DOI: 10.1055/b-006-163725

2020 © 2020 Georg Thieme Verlag KG
Georg Thieme Verlag, Stuttgart

Subjects: Ophthalmology, Optometry;Plastic, Reconstructive and Cosmetic Surgery

Thieme Clinical Collections (English Language)



 
Sanjai Jalaj and Bryan J. Winn

Summary

Evisceration is a surgical method for eye removal while preserving the sclera of the eye. This is employed in cases of acute endophthalmitis, phthisis bulbi, or other causes of blind, painful eye without a known or suspected malignancy. Advantages of this surgery over enucleation include preservation of orbital anatomic relationships and a technically faster procedure. Prior to surgery, unless the posterior segment can be visualized, imaging must be acquired. Various techniques of scleral preservation or modification have been described and can be selected based on surgeon preference and patient factors.

Key words

evisceration - enucleation - anophthalmos - orbital implant - sympathetic ophthalmia