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ENUCLEATION

The document discusses different types of eye surgeries including enucleation, evisceration, and exenteration. Enucleation involves removing the entire eyeball while evisceration removes just the internal contents and leaves the outer layer. Exenteration removes all eye socket contents. Reasons for these surgeries include cancer, injuries, infections, and transplantation. The process involves fitting an orbital implant after eye removal and reattaching muscles. Patients may stay overnight in the hospital or go home the same day. They are given medications and wear an eye patch until receiving a prosthetic eye. Follow ups are needed to monitor socket changes over time. Risks include bleeding, infection, and long-

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Blessy Sebastian
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408 views

ENUCLEATION

The document discusses different types of eye surgeries including enucleation, evisceration, and exenteration. Enucleation involves removing the entire eyeball while evisceration removes just the internal contents and leaves the outer layer. Exenteration removes all eye socket contents. Reasons for these surgeries include cancer, injuries, infections, and transplantation. The process involves fitting an orbital implant after eye removal and reattaching muscles. Patients may stay overnight in the hospital or go home the same day. They are given medications and wear an eye patch until receiving a prosthetic eye. Follow ups are needed to monitor socket changes over time. Risks include bleeding, infection, and long-

Uploaded by

Blessy Sebastian
Copyright
© Attribution Non-Commercial (BY-NC)
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PPTX, PDF, TXT or read online on Scribd
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Ms .

Blessy

Enucleation is removal of the eye, leaving the eye muscles and remaining orbital contents intact.

Evisceration - removal of the internal eye contents, but the sclera is left behind with the extraocular muscles still attached. Enucleation - removal of the eyeball, but the adjacent structures of the eye socket and eyelids remain. An intraocular tumor excision requires an enucleation, not an evisceration. Exenteration - removal of the contents of the eye socket (orbit) including the eyeball, fat, muscles and other adjacent structures of the eye. The eyelids may also be removed in cases of cutaneous cancers and unrelenting infection. Exenteration is sometimes done together with Maxillectomy which is removal of the maxilla or the upper jaw bone/cheekbone

Cancer of the eye (retinoblastoma, melanomas, any other cancers of the eye or orbit) Severe injury of the eye when the eye cannot be saved or attempts to save the eye have failed End stage glaucoma Painful, blind eye In cases of sympathetic ophthalmia (inflammation of the eye) to prevent travel to other eye, in which, if untreated can cause blindness Congenital cystic eye In a deceased person, so the cornea can be used for a living person who needs a corneal transplant by a surgical operation called keratoplasty. Constant infection in a blind, or otherwise useless eye.

The second step in the surgery is the fitting of a spherical orbital implant. There are various types of orbital implants. They can be made from acrylic, coral or synthetic coral type materials. The final artificial eye will fit over this orbital implant and under the eye lids. The muscles are attached to the orbital implant so the muscles of the eye can move the orbital implant (and therefore the artificial eye). The eye muscles attach to the orbital implant The muscle attachment means that when you make small eye movements (for example, during conversation) your artificial eye will follow the movement. For more extreme eye movements, there may be a lag.

Some patients spend the night at the hospital, while others go home the same day as surgery. ask to take medications after surgery such as antibiotics, steroids, or pain-relievers. Patients may wear a patch after surgery for several days to several weeks, until they receive their prosthesis. Continued follow-up is important as the tissues in the socket may atrophy (shrink) with time. This loss of volume may lead to eyelid laxity or socket changes that may affect the fit of the prosthesis. Careful monitoring of the socket and prosthesis by the surgeon and the ocularist will help keep the socket healthy, and will allow for early detection of any changes that may require further treatment

Short-term risks for this surgery, as with any surgery, include bleeding and infection. Longer-range complications include discharge and socket irritation or exposure of the implant.

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