What is the difference between evisceration and enucleation of the eye?

Enucleation is the surgical removal of the entire eye. Evisceration is the surgical removal of the contents of the eye, leaving the white part of the eye (the sclera) and the eye muscles intact.

Which layer of eyeball is removed during evisceration?

An evisceration is the removal of the eye’s contents, leaving the scleral shell and extraocular muscles intact. The procedure is usually performed to reduce pain or improve cosmesis in a blind eye, as in cases of endophthalmitis unresponsive to antibiotics.

What causes eye evisceration?

Some of the most common indications include trauma, cancer (such as retinoblastoma or ocular melanoma), end stage eye disease (such as diabetic retinopathy, glaucoma, or after multiple eye surgeries), or an otherwise degenerated blind and/or painful eye.

What are the 3 surgical procedures in eye removal?

This chapter describes three operations that either remove the contents of the eye (evisceration), the eye itself (enucleation) or the whole orbital contents (exenteration). Each operation has specific indications which are important to understand. In many cultures the removal of an eye, even if blind, is resisted.

What do you need to know about evisceration of the eye?

Evisceration involves removal of the contents of the eye without removing the scleral shell, extraocular muscles, or optic nerve. Evisceration of a globe involves removal of the cornea and intraocular contents. The technique preserves the sclera and the extraocular muscles attached to the sclera.

When is evisceration a necessary oculoplastic procedure?

Evisceration may be a necessary oculoplastic procedure for patients in the case of the following: Endophthalmitis – In the case of persistent endophthalmitis which remains non-responsive to antibiotics, the evisceration of ocular contents may be necessary.

What is the difference between enucleation and evisceration?

As part of the eye surgery, a marble-like implant is placed inside the eye to fill the empty socket. With enucleation, the six extraocular eye muscles are sewn to the implant. With evisceration, the muscles maintain their connection to the sclera so there is no need for surgery on them.

How is an orbital eviceration different from an evisceration?

This involves the removal of the entire eyeball, including the globe and the sclera, but leaving the rest of the orbital (eye socket) contents in place. This procedure differs from an evisceration, because the sclera is also removed, meaning that none of the eyeball or globe remains.