Abstract

Orbital implant extrusion and anophthalmic socket syndrome are 2 major risks of evisceration surgery. The main cause of implant extrusion is excessive tension on the wound.
We prefer evisceration over enucleation because with evisceration, the orbital anatomy
(including the muscular insertions), volume, and socket motility are better preserved, leading to superior cosmetic and functional results.
Extrusion of the orbital implant is a major complication of the anophthalmic cavity, produced by erosion of the overlying tissues.
We are demonstrating technique in which 4 partial scleral flaps are made by radial incisions from the limbus between the rectus muscles to the equator, making posterior sclerotomy around optic nerve, and then they are sutured overlapping the horizontal and vertical flaps.
It accomodates larger size of implant without the risk of exposure.