Complications after Modified Evisceration with Closure of the Anterior Scleral Shell by Donor Scleral Graft

Introduction

In the last decades, evisceration has become the leading approach for surgery of painful and nonfunctional eyes without malignant diseases [1]. Arguments in favour of evisceration versus enucleation are better preservation of orbital structures, more naturally appearing prosthetic movements, and overall superior aesthetic results. Major complications of evisceration are anterior exposure or extrusion of implants and postoperative socket syndrome caused by insufficient substitution of eye volume.

In order to allow implantation of larger spheres, multiple modifications of standard evisceration have been suggested. Unfortunately, all these techniques afford further surgical steps affecting the integrity of the natural scleral shell, are technically more demanding, and extend the necessary time for surgery. Four years ago, we suggested an easy-to-perform modification of evisceration for larger implants using donor sclera to close the scleral shell anteriorly [2]. This technique has been used so far in two cases. The long-term results should be reported since both developed complications that finally led to the removal of the implants.

Publication History

Received: 25 September 2020

Accepted: 25 January 2021

Article published online:
30 April 2021

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