Evisceration and Enucleation & When Are These Procedures Performed?

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Evisceration and enucleation are two different surgical procedures performed in ophthalmology. These procedures are typically used in cases of eye trauma, tumors, severe infections, or a painful blind eye.

1. Evisceration

Evisceration is a surgical procedure in which the internal structures of the eyeball are removed, but the sclera (the white part of the eye) and extraocular muscles are preserved.

Advantages

Since the eye muscles are preserved, prosthetic eye movements may appear more natural.

Shorter surgery time and recovery period.

Less invasive, leading to reduced pain and complications.

Disadvantages

Diseased tissues inside the eye may not be completely removed.

Not suitable for severe pathologies such as tumors.

2. Enucleation

Enucleation is a surgical procedure in which the entire eyeball, including the sclera and extraocular muscles, is removed.

Advantages

Completely removes diseased tissues, making it more suitable for tumors and severe infections.

Provides an appropriate socket for prosthetic eye placement.

Disadvantages

Prosthetic eye movements may be limited due to the loss of eye muscles.

Requires a longer recovery period.

When Are These Procedures Performed?

Condition	Evisceration	Enucleation
Traumatic Eye Injury	✅	✅
Painful Blind Eye	✅	✅
Eye Infections (Endophthalmitis, etc.)	✅	✅
Intraocular Tumors	❌	✅
Cosmetic Reasons	✅	✅

Conclusion

Evisceration and enucleation are surgical procedures chosen based on specific clinical conditions. The decision on which method to use depends on the condition of the eye, the overall health of the patient, and the surgeon's assessment. Both procedures provide a foundation for prosthetic eye application and aim to improve the patient's quality of life.

Prosthetic Eye Patients Before & After

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