EVISCERATION

 Evisceration is a surgical procedure that involves the removal of the contents of the eye, leaving the sclera, or the white part of the eye, intact. The procedure is typically performed to treat eye conditions that cannot be treated with other methods, such as severe infections, trauma, or non-cancerous tumors of the eye. In this article, we will discuss the indications, preparation, procedure, and recovery of evisceration, as well as potential risks and complications.

Indications for Evisceration

Evisceration is typically indicated for the following conditions:

  1. Severe infections: Evisceration may be performed to remove infected tissue from the eye, such as in cases of endophthalmitis.
  2. Trauma: Evisceration may be performed to remove damaged tissue from the eye, such as in cases of severe ocular trauma.
  3. Non-cancerous tumors of the eye: Evisceration may be performed to remove benign tumors of the eye that cannot be treated with other methods.
  4. Painful blind eye: Evisceration may be performed to remove the contents of a blind and painful eye, which can provide relief from pain and discomfort.

Preparation for Evisceration

Before the procedure, the patient will have a thorough eye exam to check their vision and eye health. They will also have a discussion with the surgeon about the risks and benefits of the procedure, as well as the expected recovery time. The patient will be instructed to stop taking blood-thinning medications for several days before the procedure.

Procedure for Evisceration

Evisceration is typically performed under general anesthesia, and the procedure typically takes about 1-2 hours. The procedure involves removing the contents of the eye, including the lens, vitreous humor, and the retina. The eye muscles are left intact, so the patient will be able to move their eye socket in the same way as before. A ball implant is usually placed in the eye to give the eye its shape, this ball can be made of different materials (plastic, silicone, hydroxyapatite), and can be adjusted later if needed.

Recovery after Evisceration

After the procedure, the patient will be given pain medication and antibiotics to prevent infection. The eye socket will be covered with a patch for several days, and the patient will be instructed to avoid strenuous activities during the recovery period. They will also be given eye drops to prevent infection and reduce inflammation. The patient will have follow-up visits with the surgeon to monitor their recovery and check for any complications.

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