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Review
. 2013 Oct 30:2013:bcr2013201235.
doi: 10.1136/bcr-2013-201235.

Evisceration for the management of ocular trauma

Colm McAlinden  1 , Mario Saldanha, David Laws
Affiliations
Review

Evisceration for the management of ocular trauma

Colm McAlinden et al. BMJ Case Rep. .

Abstract

Despite the eye being surrounded by orbital bones and protective mechanisms such as the blink reflex, it is vulnerable to trauma. The two key issues to consider when presented with a case of ocular trauma are the visual potential of the eye and the risk of sympathetic ophthalmia. The Ocular Trauma Score can be used to assess the visual potential of the injured eye. Surgical management may be either repair or removal of the eye (evisceration or enucleation). Herein we describe a case of ocular trauma and the decision-making process in the management of the injury.

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Figures

Figure 1
Figure 1
B-scan ultrasound showing a retinal detachment.
Figure 2
Figure 2
(A) Axial CT showing a retinal detachment. (B) Coronal CT showing an orbital floor fracture.
Figure 3
Figure 3
The main steps in the evisceration procedure. (A) Removal of the contents with a curette. (B) Ensuring all the uveal tissue is removed. (C) Scleral shell was filled with dehydrated alcoho. (D) Implanting the ball. (E) Suturing the eye. (F) Conformer in situ. (G) Hydroxyapatite implant infused with cefuroxime.
See this image and copyright information in PMC

References

    1. Kuhn F, Maisiak R, Mann L, et al. The Ocular Trauma Score (OTS). Ophthalmol Clin North Am 2002;2013:163–5, vi - PubMed
    1. Chang GC, Young LH. Sympathetic ophthalmia. Semin Ophthalmol 2011;2013:316–20 - PubMed
    1. Marak GE., Jr Recent advances in sympathetic ophthalmia. Surv Ophthalmol 1979;2013:141–56 - PubMed
    1. Kilmartin DJ, Dick AD, Forrester JV. Prospective surveillance of sympathetic ophthalmia in the UK and Republic of Ireland. Br J Ophthalmol 2000;2013:259–63 - PMC - PubMed
    1. Nussenblatt RB. Sympathetic ophthalmia. In: Nussenblatt RB, Whitcup SM, Palestine AG, eds. Uveitis: fundamental and clinical practice. 2nd edn St Louis: Mosby, 1996:97–134, 311–23