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Enucleation

  • Charles B. Slonim
  • Jay Justin Older
  • William P. Mack
Chapter

Abstract

Enucleation is performed to remove a blind, painful eye, a severely traumatized eye, or an eye that is thought to harbor a malignancy. The goal of the surgeon is to remove the eye in the most appropriate manner (e.g., remove sufficient optic nerve tissue if an intraocular tumor is present) and to create a socket that will accommodate a properly designed prosthesis. The best possible cosmetic result is achieved in cooperation with an ocularist, but the surgeon must also consider movement of the prosthesis and such potential complications such as extrusion of the implant or a contracted socket. The techniques presented in this chapter are designed to result in a good cosmetic appearance, as well as minimize such postoperative risks as implant extrusion and contracted socket.

Keywords

Enucleation Prosthesis Extrusion Contracted socket Sizing sphere Non-porous implant Methylmethacrylate Silicone Porous implant Hydroxyapatite Porous polyethylene Bioceramic Motility peg Motility coupling post 

Supplementary material

419986_5_En_44_MOESM1_ESM.mpeg
Video 44.1 Transection of oblique muscles during an enucleation. Courtesy of Richard C. Allen, MD, PhD, FACS. http://webeye.ophth.uiowa.edu/eyeforum/video/plastics/10/75-transect-obliq-musc-enucleation.html (MPEG 100674 kb)
419986_5_En_44_MOESM2_ESM.mp4 (93.3 mb)
Video 44.2 Implantation of a bio-eye orbital implant. Courtesy of Richard C. Allen, MD, PhD, FACS. http://webeye.ophth.uiowa.edu/eyeforum/video/plastics/7/5-placement-of-bio-eye.html (MP4 95527 kb)
419986_5_En_44_MOESM3_ESM.mp4 (201 mb)
Video 44.3 Enucleation with implant. Courtesy of Richard C. Allen, MD, PhD, FACS. http://webeye.ophth.uiowa.edu/eyeforum/video/plastics/1/Enucleation-with-implant.html (MP4 205843 kb)
419986_5_En_44_MOESM4_ESM.mp4 (211 mb)
Video 44.4 Enucleation medial approach to the optic nerve. Courtesy of Richard C. Allen, MD, PhD, FACS. http://webeye.ophth.uiowa.edu/eyeforum/video/plastics/1/Enucleation-medial-approach-to-ON.html (MP4 216029 kb)

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Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  • Charles B. Slonim
    • 1
    • 2
    • 3
  • Jay Justin Older
    • 1
  • William P. Mack
    • 4
    • 5
  1. 1.Department of OphthalmologyUniversity of South Florida Morsani College of MedicineTampaUSA
  2. 2.Department of Plastic SurgeryUniversity of South Florida Morsani College of MedicineTampaUSA
  3. 3.Department of OphthalmologyUniversity of Florida School of MedicineGainesvilleUSA
  4. 4.Department of OphthalmologyUniversity of South Florida College of MedicineTampaUSA
  5. 5.Mack Center Cosmetic SurgeryTampaUSA

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