• Mark R. LevineEmail author


Evisceration is a surgical procedure involving the surgical removal of the intraocular contents of the globe with or without keratectomy. It involves minimal disruption of the orbital contents with the best cosmetic result over enucleation. It is contraindicated in a patient who has a history of intraocular tumor. In a blind eye, a B scan ultrasound must be done to rule out an occult tumor. Expansion sclerotomies have improve the outcomes in evisceration surgical technique. The procedure takes less time than enucleation surgery, can be done under general or monitored assisted anesthesia with minimal complications.


Evisceration Enucleation Endophthalmitis Ideal socket criteria B cell ultrasound Sympathetic ophthalmia 

Suggested Reading

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    Jordan DR, Klapper SR. Enucleation, evisceration. Secondary orbital Implant. In: Black EH, Nesi FA, Calvano CJ, Gladstone GJ, Levine MR, editors. Smith and nesi’s ophthalmic plastic and reconstructive surgery, 3rd ed. New York:Springer; 2012 p. 1105–30.Google Scholar
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    Levine MR, Pou CR, Lash RH. Evisceration: is sympathetic ophthalmia a concern in the new millennium? Ophthal Plast Reconstr Surg. 1999;15(1):1–5.CrossRefGoogle Scholar
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    Levine MR, Shore JW. Evisceration. In: Levine MR, Allen RC, editors. Manual of oculoplastic surgery. 5th ed. Switzerland: Springer; 2018. p. 421–7.CrossRefGoogle Scholar

Copyright information

© Springer Nature Switzerland AG 2020

Authors and Affiliations

  1. 1.Department of OphthalmologyUniversity Hospitals of Cleveland, Cleveland Clinic FoundationClevelandUSA

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