![]() | Only 14 pages are availabe for public view |
Abstract Summary and conclusion Evisceration is a common surgical procedure by which intraocular contents are removed with preservation of sclera, extraocular muscles and orbital adnexa. It can be combined with insertion of an implant into the eviscerated cavity to maintain appropriate orbital volume. Many modifications are applied on this surgery (adding relaxing posterior sclerotomies to the standard evisceration technique) to allow placement of a larger orbital implants and trying to decrease complications resulting from this procedure. Implants have many types and sizes. Implant size was empirically predetermined in the past, now certain studies developed formulas to determine the adequate size of the implant prior to beginning of the procedure to avoid volume deficiency after the surgery. In our study, some of these procedure-related complications were recorded and they were superior sulcus deepening leading to cosmetic disfigurement and upper lid dropping, shallow lower fornix which didn‟t allow proper fitting and maintenance of the prosthesis, decreased palpebral fissure height and decreased degree of mobility of the prosthesis. |