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Evisceration (Ophthalmology)

Surgical Procedure

Ocular evisceration is a surgical procedure that removes the contents of the eye while leaving the scleral shell and extraocular muscles intact. It is usually performed to reduce pain, improve the cosmetic appearance of a blind eye, treat endophthalmitis that has not responded to antibiotics, or address ocular trauma, and an ocular prosthetic can later be fitted over the eviscerated eye to improve its appearance.

Facts
Classification
Status
Standard of Care 1
Origin Year
1817 2
Evisceration (Ophthalmology)
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FAQs

How does evisceration differ from enucleation of the eye?

It keeps the outer shell and eye muscle attachments; enucleation is preferred when a tumor cannot be ruled out.

Evisceration removes all of the contents of the eye while keeping the scleral shell, the attachments of the eye muscles and the surrounding tissue of the eye socket, and an implant is often placed in the emptied shell to maintain the volume of the socket. Enucleation is the alternative operation. The American Academy of Ophthalmology's EyeWiki lists these advantages for evisceration: shorter operating time, a less complex operation, lower cost, less disruption of orbital tissue, improved motility, less pain and the possible avoidance of general anesthesia. It also lists two disadvantages: a theoretical risk of sympathetic ophthalmia, an immune reaction in the other eye, and a risk of spreading an intraocular tumor. For that reason, when an intraocular malignancy cannot be ruled out, EyeWiki says enucleation is the preferred surgery.
Connections

Treats

Source Evisceration (Ophthalmology) (Wikipedia)
Sources
1. Wikipedia
Wikipedia contributors, Wikimedia Foundation
2. Evisceration (Ophthalmology) (Wikipedia)
  • Evisceration (Ophthalmology) - Lead section
    Ocular evisceration is the removal of the eye's contents, leaving the scleral shell and extraocular muscles intact.
  • https://en.wikipedia.org/wiki/Evisceration_(ophthalmology), lead section
    Ocular evisceration is the removal of the eye's contents, leaving the scleral shell and extraocular muscles intact.
  • Treats: Endophthalmitis, Lead - treats-condition
    The procedure is usually performed to reduce pain, improve cosmetic appearance in a blind eye, treat cases of endophthalmitis unresponsive to antibiotics, or in the case of ocular trauma.
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