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Ophthal Plast Reconstr Surg. 2007 Sep-Oct;23(5):389-92.

Four-petal evisceration: a new technique.

Author information

  • 1Ophthalmology Service, Hospital Ramon y Cajal, Madrid, Spain. salessanz@yahoo.es

Abstract

PURPOSE:

To describe a new evisceration technique that allows the use of large orbital implants and closure without tension on the wound.

METHODS:

Interventional prospective study. The technique involves quadrisectioning the sclera and placement of a large orbital implant. The sclera is sutured in 2 layers covering the implant.

RESULTS:

A total of 73 eyes underwent surgery. The implants were 22 mm in 11 eyes (15%), 20 mm in 60 eyes (82.2%), and 18 mm in 2 eyes (2.8%). Thirty-one eyes (42%) were phthisical with small scleral cavities. There was 1 case of postoperative mild superior sulcus deficiency and no cases of extrusion of the implant.

CONCLUSIONS:

The 4-petal evisceration is technically easy to perform and provides excellent results with few complications. It allows the use of orbital implants of any desired size.

PMID:
17881991
DOI:
10.1097/IOP.0b013e318142cc4c
[PubMed - indexed for MEDLINE]
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