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Evisceration with scleral quadrisection, alloplastic sphere implantation could be alternative to enucleation
Ophthal Plast Reconstr Surg. 2009;25(2):130-133.
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For patients with painful or cosmetically unacceptable blind eyes and uncontrolled endophthalmitis, evisceration with scleral quadrisection and alloplastic sphere implantation is a less involved alternative procedure to enucleation, a study found.
"Evisceration with scleral quadrisection and alloplastic sphere implantation ... provides rapidity, ease, and better implant excursion and lower cost of the implants compared with their porous counterparts," the study authors said.
In the prospective study, 50 patients had evisceration with scleral quadrisection and alloplastic implantation and 50 patients had enucleation and hydroxyapatite implantation. Clinicians postoperatively examined horizontal and vertical excursion of implants and complications.
They found that, at a mean follow-up interval of 11.5 months in evisceration cases and 13.2 months in enucleation cases, both groups had vertical measurements that were approximately 20% less than horizontal measurements.
Regarding complications, clinicians found one case of small hydroxyapatite exposure in enucleation (2%) and two cases of implant extrusion in eviscerations (4%). Ten evisceration cases (20%) and seven enucleation cases (14%) had deep superior sulcus deformity.