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Enucleation, Evisceration, Secondary Orbital Implantation

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Smith and Nesi’s Ophthalmic Plastic and Reconstructive Surgery

Abstract

Loss of an eye to tumor, trauma, or end stage ocular disease is a devastating condition. There is a loss of binocular vision with a reduced field of vision and loss of depth perception. Job limitations are often a result of lost binocularity, and affected individuals may experience a sense of facial disfigurement and poor self-esteem. The psychological trauma to the patient from loss of the eye may be worse than the physical disability in some instances. Few operations in ophthalmic surgery requires as much compassion on the part of the ophthalmologist as that needed to counsel a patient preparing to undergo removal of an eye. The anophthalmic surgeon must outline expected postoperative care and appearance, review potential problems, and provide emotional assistance in returning the patient to a productive life. Since eye contact is such an essential part of human interaction, it is extremely important for the artificial eye patient to maintain a natural, normal appearing prosthetic eye.

The authors of this study do not have a commercial or proprietary interest in any of the products reviewed in this manuscript.

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Authors and Affiliations

  1. University of Ottawa Eye Institute, Ottawa, ON, Canada

    David R. Jordan M.D., F.A.C.S., F.R.C.S.(C.)

  2. Klapper Eyelid and Facial Plastic Surgery, Carmel, IN, USA

    Stephen R. Klapper M.D., F.A.C.S.

Authors
  1. David R. Jordan M.D., F.A.C.S., F.R.C.S.(C.)
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  2. Stephen R. Klapper M.D., F.A.C.S.
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Correspondence to David R. Jordan M.D., F.A.C.S., F.R.C.S.(C.) .

Editor information

Editors and Affiliations

  1. Department of Ophthalmology, Associate Professor of Ophthalmology Wayne State University School of Med, Detroit, Michigan, USA

    Evan H. Black

  2. Oakland University William Beaumont, Clinical Professor of Ophthalmology Director, Oculoplastic Surgery, Southfield, Michigan, USA

    Frank A. Nesi

  3. Department of Ophthalmology, University of Central Florida, Orlando, USA

    Christopher J. Calvano

  4. William Beaumont School of Medicine, Clinical Professor of Ophthalmology Co-Director, Oculoplastic Surgery, Detroit, Michigan, USA

    Geoffrey J. Gladstone

  5. Former Chief of Ophthalmology, Emeritus Clinical Prof of Ophthalmology Case Western Reserve University, South Euclid, USA

    Mark R. Levine

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Jordan, D.R., Klapper, S.R. (2012). Enucleation, Evisceration, Secondary Orbital Implantation. In: Black, E., Nesi, F., Calvano, C., Gladstone, G., Levine, M. (eds) Smith and Nesi’s Ophthalmic Plastic and Reconstructive Surgery. Springer, New York, NY. https://doi.org/10.1007/978-1-4614-0971-7_68

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