Enucleation, Evisceration, Orbital Implants, and Management of the Irradiated Socket

Part of the M.D. Anderson Solid Tumor Oncology Series book series (MDA, volume 6)


Removal of an eye is sometimes necessary in the management of ocular malignancies. The most common intraocular malignancies necessitating enucleation are uveal melanoma in adults and retinoblastoma in children. In patients with retinoblastoma, the segment of optic nerve removed during enucleation must be long enough to ensure that the entire tumor has been removed. A number of different types of orbital implants are available, each with advantages and disadvantages. Radiation can cause atrophy and contraction of orbital tissues; thus, management of the socket in patients who have undergone radiation therapy is challenging. There is considerable debate over the benefits of enucleation versus evisceration. Evisceration is not appropriate in patients with intraocular tumors as it may leave tumor behind. Before evisceration is performed for an indication not related to cancer, the eye should be carefully examined to rule out the presence of intraocular tumor.


Optic Nerve Uveal Melanoma Extraocular Muscle Sympathetic Ophthalmia Orbital Volume 
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Copyright information

© Springer Science+Business Media, LLC 2010

Authors and Affiliations

  1. 1.Department of Orbital and Ophthalmic Plastic SurgeryUniversitat Autonoma de Barcelona, I.M.O. BarcelonaBarcelonaSpain
  2. 2.Section of Ophthalmology, Department of Head and Neck SurgeryThe University of Texas M.D. Anderson Cancer CenterHoustonUSA

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