Eye Evisceration

Eye Evisceration Guide in Turkey

eye evisceration

Introduction

Eye evisceration is a crucial surgical procedure designed to address severe ocular conditions while preserving the outer structure of the eye. Often involving the placement of an implant to uphold orbital volume, evisceration serves as a vital solution for patients experiencing debilitating eye problems.

eye evisceration surgery

Overview

Eye evisceration is a surgical procedure that involves the removal of the contents of the eye while leaving the outer shell, or sclera, intact. This procedure is typically performed to address severe intraocular diseases, trauma, or painful blind eyes that cannot be salvaged. 

After the evisceration, the scleral shell can be fitted with a prosthetic eye to maintain the appearance of a natural eye. Overall, eye evisceration helps improve a patient’s quality of life by alleviating pain and restoring cosmetic appearance.

 

benefits of eye evisceration surgery

There are several benefits of eye evisceration surgery, which we will mention some of them:

• Pain relief:

Eye evisceration can significantly reduce or eliminate chronic pain caused by conditions such as glaucoma or severe ocular infections.

• Control of infection:

In cases of persistent or severe eye infections, evisceration can help to prevent the spread of infection to surrounding tissues or the other eye.

• Preservation of eye appearance:

Because the sclera remains intact, the outer appearance of the eye can be maintained, allowing for cosmetic benefits in contrast to complete eye removal (enucleation).

• Improved quality of life:

Patients often report an improved quality of life post-surgery, as the elimination of pain and discomfort can enhance daily activities.

• Better cosmetic options post-surgery:

Patients can benefit from various prosthetic options that can restore a more natural appearance after the surgery.

• Preservation of orbital structure:

By retaining the sclera and surrounding tissues, evisceration helps maintain the overall orbital structure, which can be beneficial if future surgical interventions are needed.

 

prepare for eye evisceration

prepare for eye evisceration surgery

Before having an eye evisceration, you should consult your doctor and discuss any questions or concerns you have about the procedure. Adhere to guidelines regarding medications and fasting. You have to ensure someone can drive you home after surgery. Set up a comfortable area at home for your recovery.

steps of eye evisceration surgery

The steps of eye evisceration surgery are as follow:

Step 1- Anesthesia administration:

General or local anesthesia is administered.

Step 2- Patient positioning:

The patient is positioned comfortably.

Step 3- Incision:

Eyelids are held open with a speculum, and then a conjunctival incision is made around the limbus.

Step 4- Evisceration of eye contents:

The contents, including the vitreous and retina, are carefully removed, where an evisceration spoon or similar instrument is used and the scleral shell remains intact for prosthetic placement.

Step 5- Managing surrounding tissue:

Hemostasis is achieved using cautery or ligation, and the orbital cavity is examined for remaining structures.

Step 6- Closure of the incision:

The scleral shell is closed with sutures if necessary and a protective dressing is applied over the eye.

 

recovery after eye evisceration surgery

Recovery after eye evisceration surgery is a critical process that requires careful attention. You will likely experience some discomfort, swelling, and bruising around the operated area. 

You have to allow your body to heal by taking time off from strenuous activities. Follow your doctor’s prescriptions for pain management and infection prevention, and keep the surgical site clean to reduce the risk of infection.

risks and complications of eye evisceration surgery

The risks and complications of eye evisceration surgery are as follow:

• Infection:

Post-surgical infections can occur and may require additional treatments. Signs may include increased pain, redness, or discharge.

• Hemorrhage:

Uncontrolled bleeding can happen during or after the procedure. Severe cases might necessitate a blood transfusion or further surgery.

• Prosthetic complications:

Patients often require a prosthetic eye after evisceration. Complications may include issues with fit, displacement, or discomfort.

• Vision loss:

Vision will be completely lost in the affected eye. Even with prosthetics, patients may experience changes in depth perception.

• Ocular motility issues:

Problems with eye movement may occur, affecting how the remaining eye functions, and this might impact depth perception and coordination.

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Eye evisceration is a surgical procedure that involves the removal of the contents of the eye while preserving the outer scleral shell. This operation is typically performed to treat severe ocular pain, trauma, or after the eye develops certain diseases, such as end-stage glaucoma or malignancies. 

Before eye evisceration, it is important to conduct a comprehensive assessment. This includes discussing the procedure with a healthcare professional to understand the reasons and potential outcomes. Patients should ensure that all questions and concerns are addressed to alleviate anxiety. Additionally, they should undergo necessary pre-operative tests and follow any fasting guidelines provided by the medical team. 

For eye evisceration, local anesthesia is commonly used to ensure that the patient remains comfortable and pain-free during the procedure. This type of anesthesia is administered directly to the area around the eye, providing effective pain control while allowing the surgeon to perform the necessary surgical steps.

Infection after surgery can manifest through a variety of symptoms that patients should be vigilant about. Common signs include redness and swelling around the surgical site, increased pain or tenderness, and the presence of pus or other discharge. Patients may also experience fever, chills, or a general feeling of malaise.

Prosthetic eyes, also known as ocular prostheses, serve as a cosmetic solution for individuals who have lost an eye due to injury, illness, or congenital conditions. However, complications can arise from their use. Patients may experience discomfort or irritation, especially if the prosthetic does not fit properly. There is also a risk of ocular infections, as the absence of a natural eye can alter the protective mechanisms of the eye socket. 

Results

Eye evisceration surgery is a medical procedure aimed at removing the contents of the eye while preserving the outer shell, or sclera. This surgery is typically performed in cases of severe trauma, infection, or a painful, blind eye. This surgery helps improve the patient’s quality of life and can enhance the cosmetic appearance of the eye region.

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