Evisceration: our technique of choice

Introduction: Evisceration remains an useful technique in some ophthalmological situations such as trauma, phtisis bulbi or endophtalmitis. The main complications are orbital socket syndrome and implant exposure. However, modern evisceration techniques with sclerotomies reduced the incidence of these complications, allowing better results. For the authors, the favourite evisceration technique is based in Massry and Hold’s surgery.

Purpose: The purpose of this paper is to show in a video the preferable evisceration technique of the authors, highlighting the main steps and precautions to have in order to achieve good postoperative results.

Methods: Surgical technique video.

Results: Evisceration with 2 anterior relaxing sclerotomies and circumferential posterior sclerotomy permits the use of a large porous implant (22mm) with a good anterior closure and less wound tension. This technique minimizes implant exposure and socket syndrome and allows a good cosmetic and functional outcome.

Conclusion: A careful and systematic surgical technique is important to achieve good results. The described technique is simple, quick and effective.