ABSTRACT

Aim:

To investigate the effects and complications of three different surgical techniques of evisceration which were evaluated by considering the amount of the sclera.

Methods:

23 eyes of 23 patients who were undergone evisceration operation in İstanbul Haseki Education and Research Hospital Eye Clinic between February 2001 - April 2004 were evaluated in a retrospective study. If there were enough scleral shell volume, only radial anterior expansion sclerotomies were performed in the four oblique quadrants (technique 1: 8 cases). We preferred posterior sclerotomies in case an adequate scleral shell volume did not exist for a suitable intraocular implant (technique 2: 11 cases). If the scleral cavity was too small to allow the placement of adequate sized implant, radial expansion sclerotomies were placed at the 2 and 8 o'clock positions to the insertion of the optic nerve thus scleral shell was divided into two pieces (technique 3: 4 cases). Implant was inserted, and the scleral wound was closed by overlapping the wound edges using continued sutures without tension. Surgical indications, clinical observations and results were evaluated.

Results:

Indications were phythisis bulbi (11 eyes), absolute glaucoma (5 eyes), endophthalmitis (7 eyes). Cases were followed up for 20,4 months. No implant exposure was seen. Deep superior sulcus deformity and anophthalmy were encountered but those patients did not accept second surgery.

Conclusion:

Three different surgical techniques of evisceration which were evaluated by taking the amount of the sclera into the consideration are effective and acceptable considering their complications.