Evisceration of the Eye

Evisceration of the eye

**Evisceration of the eye (Latin eviscerātus - gutted) - removal of the eye from the orbit through the conjunctival cavity and lacrimal ducts without opening the cranial cavity, i.e. evisceration of the eyeball is performed under local infiltration anesthesia.**

A procedure to remove the membranes and all tissues that surround and protect the intraocular structures. In almost 95% of cases, the cause of its occurrence is trauma: penetrating wound, burn. Surgical correction of damage (plasty) is almost always required. In adult patients, it is used as a necessary component of treatment after eye burns - in the presence of detachment and complete irido-scleral wounds; in this case, an eviscerator is used to cut the fibrous capsule of the anterior or posterior chamber cavities, as well as the basement membrane of the ciliary body to its own choroid. The resulting hypotension promotes complete enucleation. In children, an incision of the lens capsule is made to provide surgery for wounds.

Indications for eye evisceration in children are retinal aneurysm, subconjunctival or intraocular hematoma; as well as restoration of a suppurating eye after surgical treatment of cataracts or other operations for penetrating wounds when foreign bodies enter it. In addition, evisceration of the eye is needed to perform scleral plastic surgery for perforated wounds of various etiologies with subsequent implantation of an artificial lens, implantation of monocular lenses, removal of hemorrhages with the obligatory restoration of eye transparency. It is carried out with an evisterratro-forming knife.