Impressions start with the eye
Impressions start with the eye

Enucleation & Evisceration

Anophthalmia means without an eye.  Some people are born without an eye (congenital) or with a eye that didn't develop properly.  This can lead to sinking in of the eye socket.  Orbital reconstruction may be done to restore or maintain symmetry as the child grow. 


Anophthalmia can be acquired due to trauma or surgical removal. Surgical removal of a blind painful eye is done by an oculoplatic surgeon.  There are two options for removing an eye.  Both options are typically performed under general anesthesia. 


Enucleation is a procedure where the entire eye, including the sclera (white part of the eye), is removed. A round sphere implant is then paced inside the muscle cone and the muscles are attached to the implant.   The conjunctiva or skin of the eye is then closed and once healing is complete a prosthesis (fake eye) is made by an ocularist. 


Evisceration is very similar however, the sclera is left behind and the sphere impant is placed within the remaining sclera.  The sclera and conjunctiva are then closed over the implant and once healing is complete a prosthesis is made by an ocularist. 


Dr. Patipa and Dr. Connor both have extensive training and experience in managing blind painful eyes and anophthalmic sockets.  If you have a blind painful eye or currently wear a prosthesis and are having trouble with droopy eyelids, alignment or mantaining the prosthesis, contact our office for a consultation.


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