Equis ISSN 2398-2977

Eyeball: enucleation - transpalpebral

Contributor(s): Keith Barnett, Dennis E Brooks, Paul E Miller, Graham Munroe

Introduction

  • Removal of globe from Tenon's capsule plus a variable amount of extraocular muscles.
  • Two techniques:
    • Transconjunctival.
    • Transpalpebral.

Uses

Advantages

  • Simple technique for removal of painful eye in most cases, except where pyogenic infection or diffuse neoplasia are present.
  • Transpalpebral - preferable if any external eye infection or neoplasia is present.

Disadvantages

  • Cosmetically may be unsatisfactory but cosmesis is improved by placement of an intraorbital prosthesis.
  • Orbital infection may cause wound breakdown and rejection of prosthesis (if used).
  • Entire diseased tissue may not be resectable, ie orbital neoplasm.
  • Transpalpebral technique is slightly more difficult with slightly increased risk of hemorrhage from the skin.

Requirements

This article is available in full to registered subscribers

Sign up now to purchase a 30 day trial, or Login

Preparation

This article is available in full to registered subscribers

Sign up now to purchase a 30 day trial, or Login

Procedure

This article is available in full to registered subscribers

Sign up now to purchase a 30 day trial, or Login

Aftercare

This article is available in full to registered subscribers

Sign up now to purchase a 30 day trial, or Login

Outcomes

This article is available in full to registered subscribers

Sign up now to purchase a 30 day trial, or Login

Prognosis

  • Good - very low incidence of complications.

Further Reading

This article is available in full to registered subscribers

Sign up now to purchase a 30 day trial, or Login


ADDED