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APPOINTMENT!

Evisceration and Enucleation

What are Evisceration and Enucleation?

What is Enucleation and Evisceration Surgery?

Enucleation And eviscerationIt is the surgical removal of eyes that have lost their vision or are severely damaged. These operations are generally performed in cases of painful blindness, irreparable eye damage after trauma, intraocular tumors, or serious infections. Both procedures aim to improve the patient's quality of life and provide aesthetically pleasing results in the future. prosthetic eye It aims to prepare an eye socket suitable for its application.

What is Enucleation?

Enucleation is the complete removal of the eyeball (the entire eye). It is usually performed for painful, completely dysfunctional eyes, severely damaged eyes due to trauma, or intraocular tumors. This surgery is usually performed general anesthesia It is done under the eye and then a permanent, round implant is placed in the eye socket. orbital implant placed. Approx. 4-6 weeks of recovery process then a personalized eye mask is given to the patient to match the other eye. prosthetic eye is prepared.

What is Evisceration?

Evisceration is also an eye removal procedure, but unlike enucleation, it removes the outer wall of the eye. sclera (eye cover) This method is particularly preferred in patients who do not have intraocular cancer and whose structures are healthy. Preserving the sclera allows the eye prosthesis to move more naturally. Furthermore, the risk of implant extrusion is lower.

EviscerationThis method may be more advantageous for patients who want to preserve visual aesthetics and have a suitable medical history. However, this method is not recommended in some cases, such as if an eye tumor is suspected. enucleation preferred.

What are Evisceration and Enucleation?

In Which Situations Are Enucleation and Evisceration Surgeries Applied?

Enucleation or evisceration surgery may be necessary for various reasons. These include:

  • Trauma-related intraocular destruction

  • Painful and blind eye

  • Intraocular tumors (e.g., retinoblastoma, melanoma)

  • Severe infections (such as endophthalmitis)

  • Elimination of space irregularities to make it suitable for eye prosthesis

  • Congenital anomaly (rare)

Since each patient's condition is different, the choice of surgical method is made by a specialist. oculoplastic surgeon should be evaluated by.

Treatment Process and Recovery

Surgery is usually daily It's performed as a single procedure, and the patient is discharged the same day. Mild pain, swelling, and redness may occur for a few days after the procedure. The recovery process is as follows:

  • Week 1: The eye socket begins to heal. The stitches begin to dissolve or are removed.

  • Weeks 4-6: When the eye socket is completely healed, the patient ocularistHere, the patient is directed to an appropriate aesthetic prosthetic eye is prepared.

  • Tracking Process: After the prosthetic eye is placed, regular checkups are performed to evaluate the prosthesis' fit, mobility, and aesthetic appearance.

Frequently Asked Questions

It depends on the situation. If a tumor is present, enucleation is generally preferred. In cases of infection or trauma, evisceration may be appropriate.

 

It is placed 4–6 weeks after surgery, after the eye socket has completely healed.

 

There may be mild pain and discomfort, but it can be easily controlled with prescription medications.