What is it?
Evisceration is a surgical procedure consisting of removing the internal contents of the eye maintaining the sclera and its muscles.
In which cases is it carried out?
- Painful blind eyes
- Eyes that lose their volume (phithisis)
- Very large eyes (buphthalmos)
- A full ophthalmological examination and eyelid and periocular examination
- Examination of the fundus of the eye
- Photos are taken to assess the patient’s condition before and after treatment
During the Operation
- This treatment is carried out in the operating theatre of the out-patient’s unit
- During the operation, the surgeon removes the patient’s eyeball and inserts an implant of the same size in its place to prevent the ophthalmic cavity having no volume.
After the surgical operation
- The surgeon occludes the patient’s eye for 24 hours and the patient must also take antibiotics and anti-inflammatory drug
- Ice must be applied to the treated area during the first few weeks
- It is also important to have enough rest for the first few days and avoid picking up heavy objects and taking exercise
- About one month after surgery, the surgeon decides whether the eye has properly healed. At that time, a prosthetic doctor may adapt an external prosthesis so that the enucleated eye has a similar appearance to a healthy eye
- Anophthalmic cavity
What is evisceration and when is it performed?
Evisceration is the removal of all ocular tissue, leaving only the sclera (the outer wall) intact. The cavity can then be filled with material to simulate the eye and a prosthesis fitted to the surface so that it has the same appearance as the other eye. Evisceration can be performed in many cases, except in tumours or when the sclera is severely damaged.