Enucleation and Evisceration: What to Expect - University of Iowa Comparing Evisceration and Enucleation Figure 8 This graphic depicts the entire process of eye removal surgery, from tissue removal to prosthesis use Because an evisceration involves less disruption of the orbital tissues, it is a slightly shorter and simpler operation
Oculoplastic Surgery Techniques - University of Iowa Enucleation Enucleation medial approach to the optic nerve (04:41) Enucleation with implant (04:26) Enucleation in an Infant (01:11) Enucleation of globe with extra-scleral extension of melanoma (03:59) Enucleation with dermis-fat graft for microphthalmos (05:05) Transection of oblique muscles during an enucleation (02:00) Evisceration
Enucleation with implant - University of Iowa This video demonstrates an enucleation with placement of a porous polyethylene implant The patient in this video had a choroidal melanoma A 360 degree conjunctival peritemy is performed with Westcott scissors Dissection is then performed in each of the quadrants between the rectus muscles with Stevens scissors
Enucleation in an Infant - University of Iowa Enucleation in an Infant Richard C Allen, MD, PhD, FACS Length: 01:11 This is Richard Allen at the University of Iowa This video demonstrates some of the intricacies of performing an enucleation in an infant First, it can be noted that the palpebral fissure width is much narrower giving less room The patient's rectus muscles have been tagged and transected The optic nerve will now be cut
Evisceration with placement of implant Enucleation scissors are then used to transect the optic nerve The transected optic nerve is visualized on the posterior sclera A 20 mm PMMA sphere is then placed in the intraconal space posterior to the posterior slcera The posterior sclera is then closed with interrupted 4-0 vicryl sutures
Temporary suture tarsorrhaphy - University of Iowa This video demonstrates a temporary suture tarsorrhaphy In this case, it is at the end of an enucleation procedure A 5-0 chromic suture is placed through the lower eyelid to exit out the Meibomian gland orifices The suture is then placed through the upper eyelid Meibomian gland orifices and exits superior to the lashes
Enucleation medial approach to the optic nerve This is Richard Allen at the University of Iowa This video demonstrates enucleation with placement of a porous polyethylene implant with approach to the optic nerve from the medial direction The patient had a choroidal melanoma A 360 degree conjunctival peritemy is performed with Westcott scissors
Dermis Fat Graft in Anophthalmos #2 - University of Iowa Enucleation scissors are then used to remove the shell from the socket The dermis fat graft has been harvested and in this case, a nice large volume of fat has been obtained
EyeRounds. org: Oculoplastic Basic Tray - University of Iowa Introduction: Owing to the lack of a standard nomenclature across various manufacturers, description of surgical instrumentation remains nebulous among surgeons, surgical staff, and trainees of all levels The instruments discussed below are found in all surgical trays used for oculofacial plastic surgery at the University of Iowa
Enucleation with dermis-fat graft for microphthalmos Enucleation with dermis-fat graft for microphthalmos Richard C Allen, MD, PhD, FACS Additional Notes: Length 05:05 This video demonstrates an enucleation with placement of a dermis fat graft in a patient with a history of microphthalmos I believe that this condition is most effectively treated with enlarging conformers at an early age Once the conformers reach a volume that results in poor