An evisceration is the removal of the eye's contents, leaving the scleral shell and extraocular muscles intact. The procedure is usually performed to reduce pain or improve cosmesis in a blind eye, as in cases of endophthalmitis unresponsive to antibiotics.
Careful pre-operative evaluation should be performed to ensure there is no intraocular malignancy in the operative eye when planning an evisceration. Evisceration may be performed under general anesthesia, or in some cases, intravenous, monitored sedation. The patient is appropriately prepared and draped in a sterile manner, and the procedure is performed.
The surgeon evaluates and chooses the best implant size to restore orbital volume while ensuring appropriate position.. Implant material is surgeon-dependent and includes spherical implant choices of acrylic, PMMA, silicone, and hydroxyapatite.. A pressure patch may be applied and kept in place for approximately 5 days following surgery. The patient will be on antibiotics for a certain period of time after surgery usually around 10 days.The patient may visit an ocularist for prosthesis fitting 6-8 weeks following surgery .
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