Enucleation is performed to remove a blind, painful eye, a severely traumatized eye, or an eye that is thought to harbor a malignancy. The goal of the surgeon is to remove the eye in the most appropriate manner (e.g., remove sufficient optic nerve tissue if an intraocular tumor is present) and to create a socket that will accommodate a properly designed prosthesis. The best possible cosmetic result is achieved in cooperation with an ocularist, but the surgeon must also consider movement of the prosthesis and such potential complications such as extrusion of the implant or a contracted socket. The techniques presented in this chapter are designed to result in a good cosmetic appearance, as well as minimize such postoperative risks as implant extrusion and contracted socket.
KeywordsEnucleation Prosthesis Extrusion Contracted socket Sizing sphere Non-porous implant Methylmethacrylate Silicone Porous implant Hydroxyapatite Porous polyethylene Bioceramic Motility peg Motility coupling post