Equis ISSN 2398-2977

Eyeball: enucleation - transconjunctival

Contributor(s): Keith Barnett, Joe Wolfer

Introduction

  • Removal of globe plus a variable amount of extraocular muscle and periorbital tissues is a simple and reasonably rapid technique for resolving otherwise unmanageable pathology.
  • Two techniques:

Uses

Advantages

  • Simple technique, except where pyogenic infection or diffuse neoplasia (transpalpebral technique preferred if any external eye infection or neoplasia).

Disadvantages

  • Cosmetically may be unsatisfactory (use intraorbital prosthesis).
  • Orbital infection may cause wound breakdown and rejection of prosthesis (if used).
  • Entire diseased tissue may not be removed, ie neoplasm.
  • Transpalpebral technique is slightly more difficult with increased risk of hemorrhage.

Requirements

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Preparation

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Procedure

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Aftercare

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Outcomes

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Prognosis

  • Good - very low incidence of complications.

Further Reading

Publications

Refereed papers

  • Recent references from PubMed and VetMedResource.
  • Brooks D E (2009) Extirpation of the horse globe: A commentary on equine enucleation. Equine Vet Educ 21 (11), 608-609 Wiley Online Library.
  • Launois M T et al (2009) Evaluation of a vessel-sealing device to assist eye enucleation and exenteration in the horse. Equine Vet Educ 21 (11), 596-601 Wiley Online Library.


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