Modified eyeball evisceration surgery using radio wave surgery technique

Abstract

Purpose: development of a modified eye evisceration technique using radio wave surgery and evaluation of its effectiveness. Material and methods. The results of treatment of 383 patients were analyzed. The majority were men aged 19 to 55 (62.7 %) after eye removal. Of the treated patients, 328 (85.6 %) were operated due to the trauma. Surgery techniques included enucleation with stump plastics (131 patients, comparison group I), evisceration with sclera posterior pole resection, neurectomy and stump plastics (83 patients, comparison group II) and a modified method involving radio wave surgery and locomotor stump formation (169 patients, main group). For the orbital implant, carbon felt (Carbotextim) or Polytetrafluoroethylene (Teflon) were used. The patients were followed up for 6 months to 3 years. Results. In all cases, the results of surgical treatment and subsequent eye prosthetics were positive: their were traced in 344 patients (89.7 %). The best functional and cosmetic results assessed according to several features (retraction of the prosthesis and the upper lid into the orbit, stump and prosthesis mobility) were achieved after evisceration with stump plastics (in the main group and comparison group II).Conclusion. Using the above technique in subatrophy and enhancement of safety of the modified technique in posttraumatic uveitis validate the extension of indication to evisceration. For citations: Filatova I.A., Mohammad I.M., Shemetov S.A. Modified eyeball evisceration surgery using radio wave surgery technique. Russian ophthalmological journal. 2017; 10 (3): 84 92. doi: 10.21516/2072-0076-2017-10-3-84-92 (in Russian).

Keywords

• удаление глаза
• последствия травмы глаза
• модификация эвисцерации
• радиоволновая хирургия
• орбитальный имплантат
• eye enucleation
• eye injury consequences
• modified evisceration
• radio wave surgery
• orbital implant