Enucleation, Evisceration, and Exenteration

Enucleation Long IslandAt SightMD, we offer advanced surgical procedures, including enucleation, evisceration, and exenteration, to help patients who have suffered blindness, trauma, or tumors. These procedures involve removing all or part of the eye, so we will only recommend them after we have tried all other viable treatment options. However, if you do require one of these surgeries, you will benefit from our compassionate approach, advanced techniques, and outstanding post-operative care. We offer cosmetic surgery to restore your appearance and self-confidence following your treatment.

Enucleation

We perform enucleation, or removal of the eyeball, for patients who:

  • Are blind in one eye, and the eye is causing pain.
  • Have a malignant tumor that cannot otherwise be removed.

Although enucleation is an extremely aggressive form of treatment, most patients experience favorable outcomes. The surgery can eliminate your physical pain, and we can provide solutions to restore your appearance and self-confidence.

Before your enucleation procedure, you will have a complete consultation with your eye surgeon. The surgeon will explain the procedure in detail and will take all the time you need to answer your questions and address your concerns. The surgery itself is performed under general anesthesia, and it typically takes between an hour and 90 minutes to complete. After removing your eye, your doctor will place a prosthesis in your eye socket. This prosthesis will not restore your sight, but by attaching the prosthesis to your eye muscles, you can retain some eye movement, giving you a more natural appearance. Finally, the doctor will place a bandage, which you should leave in place for the next few days. You may experience a headache, which could last from 24 to 36 hours after your procedure. However, you can typically control your discomfort with over-the-counter pain medication.

Evisceration and Exenteration

During evisceration, your doctor will remove the contents of your eye, including the cornea, iris, lens, vitreous, and retina. The doctor will leave the outer structure and the eye muscles intact, and an implant will replace the removed parts of the eye. We may use this surgery to treat severe eye trauma and pain, especially in a blind eye. It can also be used to treat endophthalmitis (eye infection) that does not respond to antibiotics. Because the outer structure of the eye remains in place, you may retain more natural eye movement than you would with a full prosthetic eye.

Exenteration is a very rare procedure that is primarily used to remove aggressive tumors that have developed in or around the eye. In addition to removing the eye itself, your doctor will also remove the eyelid and the tissues within the eye socket to completely eliminate all cancerous cells. We use sophisticated surgical techniques to ensure the most favorable outcome possible.

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