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
Evisceration with placement of implant - University of Iowa This is Richard Allen at the University of Iowa This video demonstrates an evisceration with placement of a solid spherical implant The patient has a blind painful and has undergone preoperative ultrasound to rule out any intraocular mass A 360 degree conjunctival peritemy is performed with Westcott scissors This is followed by a stab incision with a super sharp blade just posterior to the
Oculoplastic Surgery Techniques - University of Iowa Evisceration Evisceration with placement of implant (03:11) Evisceration for endophthalmitis (03:55) Intraconal implant placement in an evisceration (01:00) Orbital implant exchange after evisceration (04:23) Evisceration in patient with type II Boston keratoprosthesis (04:12) Exenteration Lid sparing exenteration (03:18)
Evisceration for endophthalmitis - University of Iowa The purulent material from the endophthalmitis is noted An evisceration spoon is then introduced into the suprachoroidal space and the contents of the eye with the cornea attached are removed and sent to the pathologist for evaluation Again, due to the significant inflammation, there can be a bit of bleeding from inside the scleral shell
Enucleation and Evisceration: What to Expect - University of Iowa An evisceration removes the intraocular contents (light In contrast, an enucleation detaches the extraocular blue) while preserving the remaining scleral shell, extraocular muscle attachments, and surrounding orbital tissues muscles and removes the entire eyeball – both the intraocular contents (light blue) and the scleral shell (dark blue)
Dermis Fat Graft in Anophthalmos #2 - University of Iowa The evisceration scleral shell is removed similar to the way one would perform an enucleation Each of the rectus muscles is identified and tagged with a 5-0 Vicryl suture placed in a locking fashion
Evisceration in patient with type II Boston keratoprosthesis Evisceration in patient with type II Boston keratoprosthesis Richard C Allen, MD, PhD, FACS Additional Notes: Length 04:12 This video demonstrates an evisceration of a patient who has had a type II keratoprosthesis Unfortunately, the patient developed an endophthalmitis The area of the previous tarsorrhaphy is incised with a 15 blade Dissection is then carried out through the orbicularis
Orbital implant exchange after evisceration - University of Iowa Orbital implant exchange after evisceration Richard C Allen, MD, PhD Additional Notes: Length 04:23 Posted March 20, 2017 This is Richard Allen at the University of Iowa This video demonstrates exchange of an orbital implant in a patient who had undergone a prior evisceration The patient now has an exposed silicone implant Westcott scissors were used to dissect along the surface of the
Chemosis. EyeRounds. org: Online Ophthalmic Atlas Chemosis - marked edema of the bulbar conjunctiva following evisceration This type of pronounced chemosis following evisceration can be obviated by maintaining an effective pressure dressing for several days
Intraconal implant placement in an evisceration Intraconal implant placement in an evisceration Richard C Allen, MD, PhD, FACS Additional Notes: Length 01:00 This video demonstrates placement of an orbital implant posterior to posterior sclera in a patient undergoing an evisceration The intraocular contents have already been removed and the posterior sclera has been opened The intraconal space posterior to posterior sclera is