A modified method of evisceration of a subatrophic eyeball

Abstract

The purpose is to develop a new method of evisceration of the eyeball in II–III degree subatrophies and assess its effectiveness. Material and methods. 172 patients with blind or incurable eyes who underwent one of the three operations: eye evisceration according to the newly developed technique involving an implantation of polytetrafluoroethylene grafts (main group), eyeball enucleation (comparison group I) and classical eye evisceration (comparison group II) were observed. Results. No complications were revealed either in the early or in the late period. A positive result was noted in all patients of the main group: average stump mobility was 140.1° ± 3.7° and average prosthesis mobility was 111.2° ± 4.0°. Prosthesis retraction after evisceration occurred 13.9 % less often than after enucleation (comparison group I), while the prosthesis retraction depth (mm) was 54.5 % lower than after enucleation. The retraction of the upper eyelid was also 26 % less common and its depth (mm) was 39.3 % lower.

Keywords

• evisceration
• enucleation
• polytetrafluoroethylene
• stump plastic
• orbital implant