Abstract

Evisceration is a surgical technique where intraocular contents are removed and the scleral shell is left; placement of an adequate-size orbital implant and tension-free suturing is of utmost importance to have a better outcome of cosmetic appearance for the patient. The existing method for the selection of implant size does not always give the adequate size of implant intraoperatively. As the implant is globular in shape there is a possibility of slippage if the scleral cuts and orbital implant are inappropriate. So, it is necessary to decide on the adequacy of scleral cuts before implantation. To overcome the difficulties, we propose an instrument called implant sizer which has globular part made of stainless steel in various axial length and a handle attached to it which helps to facilitate in introducing an adequate orbital implant intraoperatively which results in better postoperative outcomes and better aesthesis.