Evisceration of the eye is a surgical procedure that involves removing the internal structures of the eye, such as the cornea, lens, and retina, while leaving the scleral shell (the white part) intact. This procedure is typically performed for patients with painful, non-functional eyes resulting from trauma, infection, or severe disease, including advanced glaucoma or intraocular tumours. Evisceration not only alleviates pain but also allows for the fitting of a prosthetic eye, restoring both the appearance and function of the eye socket.
The Evisceration Procedure
The evisceration procedure is typically done under local or general anaesthesia. The surgeon makes an incision in the conjunctiva (the tissue covering the eye) to access the interior of the eye. Once the inner contents are removed, the scleral shell is reshaped, and a prosthetic eye implant is placed. The procedure is less invasive than enucleation (complete eye removal), as it preserves the eye’s external structure, offering better cosmetic results and an improved fit for a prosthetic eye.
The procedure is relatively quick, taking about 45 minutes to an hour, and is typically performed in a hospital setting. Recovery times are generally shorter compared to enucleation, and patients often experience less postoperative discomfort.
Recovery After Evisceration
Recovery after evisceration is typically smooth, with most patients being discharged from the hospital within a day or two. The initial recovery period involves managing pain and swelling, which is controlled with medications prescribed by the surgeon. Antibiotic eye drops or ointments are also provided to prevent infection.
During the recovery phase, patients are advised to keep the area clean, avoid rubbing the eye, and refrain from strenuous activities to facilitate healing. It is essential to attend follow-up appointments to monitor the healing process and ensure there are no complications.
A prosthetic eye is usually fitted after the eye socket has healed, typically about 4-6 weeks post-surgery. While the socket heals, it may appear slightly swollen or misshapen, but this is temporary. The final prosthetic eye will be custom-made to match the shape and size of the remaining scleral shell.
Potential Complications
As with any surgery, evisceration carries potential risks. These include infection, bleeding, or issues with the fitting of the prosthetic eye. Additionally, psychological support is important, as the loss of an eye can have emotional implications for some patients. However, most patients find that the procedure significantly improves their quality of life by relieving pain and improving appearance.
Desai Eye Institute and Research Centre offers advanced care for patients undergoing evisceration and other eye surgeries. Our experienced team ensures the best possible outcome with personalized care plans and the latest in surgical techniques. Whether you are dealing with eye trauma, or disease, or need guidance on post-surgical care, Desai Eye Institute and Research Centre is here to support your journey toward better eye health.